Day: April 24, 2018

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials SECTIONof your Syllabus.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 13, ?Chest and Lungs? (pp. 260-293)

This chapter explains the physical exam process for the chest and lungs. The authors also include descriptions of common abnormalities in the chest and lungs.

Chapter 14, ?Heart? (pp. 294-331)

The authors of this chapter explain the structure and function of the heart. The text also describes the steps used to conduct an exam of the heart.

Chapter 15, ?Blood Vessels? (pp. 332-349)

This chapter describes how to properly conduct a physical examination of the blood vessels. The chapter also supplies descriptions of common heart disorders.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 8, ?Chest Pain? (pp. 81?96)

This chapter focuses on diagnosing the cause of chest pain and highlights the IMPORTANCE of first determining whether the patient is in a life-threatening condition. It includes questions that can help pinpoint the type and severity of pain and then describes how to perform a physical examination. Finally, the authors outline potential laboratory and diagnostic studies.

Chapter 11, ?Cough? (pp. 118-147)

A cough is a very common symptom in patients and usually indicates a minor health problem. This chapter focuses on how to determine the cause of the cough through asking questions and performing a physical exam.

Chapter 14, ?Dyspnea? (pp. 159?173)

The focus of this chapter is dyspnea, or SHORTNESS of breath. The chapter includes strategies for determining the cause of the problem through evaluation of the patient?s history, through physical examination, and through additional laboratory and diagnostic tests.

Chapter 26, ?Palpitations? (pp. 310-317)

This chapter describes the different causes of heart palpitations and details how the specific cause in a patient can be determined.

Chapter 33, ?Syncope? (pp. 390-397)

This chapter focuses on syncope, or loss of consciousness. The authors describe the difficulty of ascertaining the cause, because the patient is usually seen after the loss of consciousness has happened. The chapter includes information on potential causes and the symptoms of each.
Sullivan , D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
Chapter 6, “Outpatient Charting and Communications” (pp. 119?141)
Note: Download these Adult Examination Checklists and Physical Exam Summaries to use during your practice cardiac and respiratory examination.
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Blood vessels. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

This Blood Vessels Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for cardiovascular assessment. In Mosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.

This Adult Examination Checklist: Guide for Cardiovascular Assessment was published as a companion to Seidel’s guide to physical examination(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for chest and lung assessment. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

This Adult Examination Checklist: Guide for Chest and Lung Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Chest and lungs. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

This Chest and Lungs Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Heart. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

This Heart Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
McCabe, C., & Wiggins, J. (2010a). Differential diagnosis of respiratory disease part 1. Practice Nurse, 40(1), 35?41.
Retrieved from the Walden Library databases.

This article describes the warning signs of impending deterioration of the respiratory system. The authors also explain the features of common respiratory conditions.
McCabe, C., & Wiggins, J. (2010b). Differential diagnosis of respiratory diseases part 2. Practice Nurse, 40(2), 33?41.
Retrieved from the Walden Library databases.

The authors of this article specify how to identify the major causes of acute breathlessness. Additionally, they explain how to interpret a variety of findings from respiratory investigations.
SkillStat Learning, Inc. (2014). The 6 second ECG. Retrieved from http://www.skillstat.com/tools/ecg-simulator#/-home

This interactive website allows you to explore common cardiac rhythms. It also offers the Six Second ECG game so you can practice identifying rhythms.
University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved from http://www.med-ed.virginia.edu/courses/rad/index.html

This website provides an introduction to radiology and imaging. For this week, focus on cardiac radiography and chest radiology.
Required Media

Laureate Education. (Producer). (2012). Advanced health assessment and diagnostic reasoning. Baltimore, MD: Author.

Note: You will use the case studies presented in the media, Advanced Health Assessment and Diagnostic Reasoning, to complete this week’s Discussion.
Online media for Seidel’s Guide to Physical Examination

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapters 13, 14, and 15 that relate to the assessment of the heart, lungs, and peripheral vascular system. Refer to Week 4 for access instructions on https://evolve.elsevier.com/.
Optional Resources

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin?s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.
Chapter 8, ?The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts? SECTION 1, ?Chest Wall, Pulmonary, and Cardiovascular Systems,? pp. 302?433)

Note:Section 2 of this chapter will be addressed in Week 10.

This section of Chapter 8 describes the anatomy of the chest wall, pulmonary, and cardiovascular systems. Section 1 also explains how to properly conduct examinations of these areas.

Discussion: Assessing the Heart, Lungs, and Peripheral Vascular System

Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?
In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.
In this Discussion, you will consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the video case studies in this week’s Learning Resources titled Advanced health assessment and diagnostic reasoning. Also, your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
To prepare:
With regard to the case study you were assigned:
Review this week’s Learning Resources and consider the insights they provide.
Consider what history would be necessary to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Discussion – Week 6”) with “Review of Case Study” identifying the number of the case study you were assigned.
Post:

scenario #2 Advanced health assessment and diagnostic reasoning.

1. a description of the health history you would need to collect from the patient in the case study you were assigned.
2.Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
3. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

SOAP SAMPLE:

Patient Initials: _JM___ Age: __46__ Gender: __M__

SUBJECTIVE DATA:

Chief Complaint (CC): New onset of rash

History of Present Illness (HPI): Jerry Morgan is a 46-year-old Caucasian male who presents today with complaints of a new onset of a red rash that has developed over the past few days on his trunk area. He has noticed no associated symptoms, aggravating or relieving factors, and has not attempted any treatments of this rash. He states that the rash is not severe or impacting his daily life, but he is concerned that it may be something serious.

Medications:

Metoprolol 25mg PO BID
Pravastatin 40mg PO at bedtime
Xarelto 20mg PO daily with dinner
Over-the-Counter Pepcid AC 10mg PO daily

Allergies: Penicillins- rash, Sulfa drugs-rash, bees.

Past Medical History (PMH):

Hypertension- well controlled
Atrial Fibrillation- well controlled
Gastroesophageal Reflux (GERD) ? takes daily OTC acid reducer
Dyslipidemia- well controlled

Past Surgical History (PSH):

Tonsillectomy (1976)

Vasectomy (2005)

Cholecystectomy (2010)

Total Knee Replacement (2014)

Sexual/Reproductive History: Patient denies any reproductive issues or risky sexual behavior. Currently married with 4 children and has had a vasectomy. No history of STIs.

Personal/Social History: Patient has smoked 1.5 packs of cigarettes/day x 30 years; drinks 5-10 beers/week; admits to regular marijuana use x 30 years. Patient does not have regular exercise habits but considers himself fairly active through outdoor work and occasional KAYAKING/hiking trips; his diet is regular and he admits is not healthy, mainly consisting of fried, fatty foods.

Immunization History: His last Tdap was in 2006 and he declines the Flu and Pneumonia vaccinations.

Significant Family History:

Father- Atrial Fibrillation, Hypertension, Myocardial Infarction, Diabetes-Type 2, Dyslipidemia ?died at age 68 of heart attack.

Mother- Ischemic Stroke, Hypertension, Dyslipidemia-died at age 70 from complications of stroke.

Siblings- two sisters with history of hypertension and diabetes-type 2, one with history of breast cancer in 2006.

Children-all healthy with no medical issues

Lifestyle: He currently owns and operates his own pest control business and has for the past 15 years. He has been married once and has 4 children with his wife. They live in a suburban middle-class neighborhood with good transportation and school systems. He enjoys outdoor activities and often works on household issues in his free time. He has a strong support system through family and friends. He gets yearly check-ups for physical, vision, and dental health maintenance.

Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses). Remember that the information you include in this SECTION is based on what the patient tells you so ensure that you include all essentials in your case (refer to Chapter 2 of the Sullivan text).

General: Negative for recent weight changes, fever, chills, night sweats, or changes in energy levels

Respiratory: + for occasional productive cough with dark sputum in the mornings, denies any SHORTNESS of breath on exertion or exposure to tuberculosis

Cardiovascular/Peripheral Vascular: Negative for chest pain, palpitations, edema, claudication, exercise intolerance.

Gastrointestinal: + for heartburn; negative for nausea, vomiting, bowel changes

Skin: + for ruby red papular rash on trunk, denies pruritus, pain, eruptions, or pigmentation changes.

Hematologic: + for prolonged bleeding times and easy bruising, negative for anemia

Allergic/Immunologic: + for drug allergies to penicillin and sulfa drugs, bees. Denies any recent new drug use. No current issues.

OBJECTIVE DATA:

Physical Exam:

Vital signs: T- 98.9 oral; P- 72, irregular; BP- 128/72 left arm, sitting, long cuff; RR- 18; Pain 0/10 Ht: 6?2? Wt: 210 lbs BMI: 27

General: AAO x3, moves all extremities, gait normal, well developed, well nourished, not malodorous. Appears comfortable and not in any apparent distress.

Chest/Lungs: Breath sounds clear and equal AP&L bilaterally

Heart/Peripheral Vascular: Irregular rhythm, controlled rate. No murmur, rub, or gallop. Pulses +2 bilateral radials and +2 bilateral pedals.

Abdomen: Bowel sounds present x4 quadrants. Soft, non-tender, non-distended. No organomegaly.

Skin: Ruby red papular rash on the trunk with no itching or pain present. No edema, clubbing, or cyanosis. No palpable nodules.

Lab Tests and Results:

CBC- RBC 5.7, PLT 250, HGB 15, HCT 44

PT/INR- 22/2.1

PTT- 27 sec.

ASSESSMENT:

Priority Diagnosis: Cherry Angioma

Differential Diagnoses:

Drug eruption
Pityriasis Rosea
Thrombocytopenic purpura

The primary diagnosis selected in this patient is cherry angioma, as the clinical presentation and history best supports this diagnosis. The patient presented with a non-painful, non-pruritic papular rash limited to the trunk of the body with no other negative symptoms. A drug eruption could be responsible for a red rash on the patient?s trunk, but the patient denies any use of new medications and the rash is not generalized, pink, and morbilliform, how drug rashes usually are presented (Ball et al., 2015). Pityriasis Rosea meets some of the criteria, but the rash is not itchy, scaly, or in oval patches, and the patient denies any recent illnesses (Dains, Baumann, & Scheibel, 2016). Thrombocytopenic purpura is a contender for a priority diagnosis since the patient is on blood thinners and at risk for increased bleeding, but lab results show that platelet and other blood counts are within normal limits, and the rash is not generalized (Ball et al., 2015).

Post your explanation of:
The difference between collecting data using individual interviews and a focus group (e.g., intent, selecting participants, conducting the interview or focus group)
Given the topic you are currently using for your research, would you consider using a focus group for your study? Why or why not?

3. This week, we begin to explore the actual ?labor? of qualitative research ? data collection. While there are many ways to collect qualitative data, such as individual interviews, questionnaires, observational notes, and archival content, we will explore ?focus groups?. We will look at the content creation from focus groups and then incorporate the coding process that we practiced in week 5. Of course, be sure to carefully read and view all of the resources this week, as they will play heavily in the discussion tasks and the next major assignment tasks.

4. Discussion One is due Wednesday. Here are the required headings:

Interviews vs Focus Groups

My Data Collection

Reflection and Questions

Unit VIII Research Paper
For the final assignment of this course, you will write a research paper on change in a human resource development (HRD) organization that you work for, or would like to work for.
Within your research paper, explain how the following tasks can be accomplished at your chosen organization using competency or case-based decision making training methods:
1. Improve productivity (efficiency and effectiveness),
2. Improve employee satisfaction with the quality of their work life,
3. Improve the ability of the organization to revitalize and develop itself over time,
4. Improve organizational processes and outputs, and
5. Measure if your improvement efforts are successful.
In your explanation, do not simply state your opinion. Include researched evidence to show why your strategies and approaches will be effective.
Your research paper must be at least three pages in length, not including the title and reference pages. You are required to use at least two outside sources. All sources used, including the required readings, must be cited and referenced according to APA guidelines.

Business Improvement” please select one of the two subjects to discuss.
Select one (1) project from the working or educational environment of your choice and specify the main work process (e.g., SUPPLIERS and customers involved, work flow, etc.) of the project that you have selected. Next, suggest at least two (2) actions that a manager can take in order to improve the work process of the project in question. Provide a rationale for your response.
Use the Internet to research a global business or an organization of your choice. Next, analyze the overall effect of global competition on the business or the organization that you researched. Suggest one (1) strategy that the business leader can use in order to improve business competition and efficiency. Provide a rationale for your response.
—————————————————————————————————————————————————

q2
“Variation and Statistical Thinking Strategy” : please select one of the two subjects to discuss.

Compare and contrast the fundamental differences between special-cause variation and common-cause variation. Provide one (1) business process example of each variation to support your response.
Select one (1) project from the working or educational environment of your choice and specify the variation NATURE of the project in question. Next, propose the overall manner in which you would apply statistical thinking strategy to improve the end result of the selected project. Provide a rationale to support your response.
——————————————————————————————————————————————————

q3

“Business Processes” please select one of the two subjects to discuss.

Per the textbook, to eliminate or reduce non-value-added work is a core step in improving profitability or efficiency of the business process. Give your opinion on whether or not you agree or disagree with this statement and include one (1) example of a business process which supports or criticizes the aforementioned statement to support your position.
Determine at least two (2) challenges in identifying Opportunity for Improvements (OFIs). Suggest at least one (1) strategy that business management can use to mitigate the challenges in question. Provide a rationale to support your suggestion.

Describe a work task, a hobby, or another activity that you regularly do, and sequentially list the various actions you take in order to complete this activity. Consider the complexity of your list and the amount of steps required to complete the activity.

Answer the following questions in the space provided below:

1. Differentiate the main actions between doing and improving your activities.

2. Determine the overall manner in which variation has affected your activities.

Q2

Answer the following questions Explain the IMPORTANCE of variation to health-care organizations and answer the following questions.

a. a-What might be the key processes for health-care organizations?
b. b-What are the potential common causes of variation that would have an impact on the key processes of health-care organizations?
c. c-What special causes might be more important than the others?
d. d-How might health-care organizations? business environment be dynamic and change over time?

Q3

The following data consists of the actual time used and potential (the best time possible for this review process) to complete each step in the review process. The actual times are based on the review of 30 projects. The potential times are subjective engineering judgment estimates.

Use the data in the TABLE above and answer the following questions in the space provided below:

hh11-What are the sources of value-added and non-value-added work in this process?
2. 2-Where are the main opportunities to improve the cycle time of this process, with respect to both actual time used and the potential best times? What strategy would you use?
3. 3-Step 10: Resolve Open Issues required 104 hours (potential) versus 106 hours (actual). Is there an OFI here? Why or why not? If so, how would you attack it?
4. 4-What do you think are the most difficult critical issues to deal with when designing a sound CYCLEtime study such as this one?

?Critique 3 ideas, concepts, or topics from this course, and reflect on how they relate to the course objectives and your career aspirations.
Be substantive and clear, and use examples to reinforce your ideas

#2 Assignment Objectives
Managing a Project Schedule
Describe project management principles as they are currently applied to both governmental and non-governmental acquisition projects.
Use effective communication techniques. Word document with 10 total pages, including empty sections
700 words

Assignment
Your first task in this process will be to select a project to use as the basis of your Key Assignment. You will also create the shell document for the final project Key Assignment document deliverable that you will be working on throughout the course. As you proceed through each project phase, you will add content to each section of the final document to progressively complete the final project delivery, which is the Acquisition Project Scheduling and Cost Management Plan.

The project deliverables are the following:
?Submit your project proposal to your instructor for approval.
?Acquisition Project Scheduling and Cost Management Plan document shell ?Use Word
?Title page ?Course number and name
?Project name
?Your name
?Date

?Table of Contents (TOC) ?Use an autogenerated TOC.
?This should be on a separate page.
?This should be a maximum of 3 levels deep.
?Be sure to update the fields of the TOC so that it is up-to-date before submitting your project.

?Section headings (create each heading on a new page with “TBD” as the content, except for sections listed under “New Content” below) ?Project Outline
?Cost, Schedule, and Technical Performance Management
?Management of Small Projects
?Acquisition Project Guidelines
?Costing Methods and Tools
?Earned Value Management System
?Overall Cost and Schedule Performance

?New content to be inserted in document shell ?Project Outline ?Give a brief description of the project.
?Discuss the overall project deliverable.
?The material can be taken from approved proposal submitted to instructor, and this will serve as the draft for the proposal.
?Be sure this project is approved by the instructor.

?Cost, Schedule, and Technical Performance ?Discuss cost techniques both in determining initial estimates and in monitoring and controlling them throughout the life of the project.
?Determine the project schedule for the acquisition component of the overall project and include a copy of it.
?Develop the program evaluation and review technique (PERT) and critical path method (CPM) for this Key Assignment acquisition project, and include copies of those charts in this section.
?Describe all of the key schedule influencers that can impact a schedule positively or negatively and how you would handle them.

#3 Assignment Objectives
Management of Small Projects
Describe project management principles as they are currently applied to both governmental and non-governmental acquisition projects.
Identify the fundamentals of cost, schedule, and technical performance management of major projects and relate these to the management of small projects.
Investigate current costing methods and tools available to assist the project manager.
Use effective communication techniques.
Use team and problem-solving skills to collaborate on a project.
500 words

Be substantive and clear, and use examples to reinforce your ideas.
It has been argued that without project management for very large projects, they are most certainly doomed to fail. Can the same be said for small projects? In this Discussion Board, you will explore this question and take it further by describing what tools and techniques you would still utilize to manage a small project.
The following Discussion Board research will assist you in determining each of these dimensions. Research at least 2 resources (which may include your textbook) to support your response.
?What tools, techniques, and methods that you would traditionally use in a larger project would you still incorporate in managing a small project?
?What do you envision the roles and responsibilities to be for smaller projects?
?Describe the schedule change management process that you would implement for smaller projects and how this differs from what you might use for larger projects.

Include an introduction and conclusion to this topic. Be sure to include your references and citations, and format your submission in APA format.

# 4 Assignment Objectives
Management of Small Projects
Word document, 900 words of new content
Identify the fundamentals of cost, schedule, and technical performance management of major projects and relate these to the management of small projects.
Use effective communication techniques.
Assignment

In the Discussion Board, you already analyzed how you would manage a smaller project compared to a larger project. You will now synthesize what you have learned during the discussions on this topic. For this assignment, you are determining all of the processes, activities, and tasks you will need to incorporate in your acquisition project, which will be small in nature compared to a larger-sized project. You will also describe the overall processes such as project communication processes, integrated change control processes, and project monitoring and controlling processes.

Deliverables

The following are the overall project deliverables:
?Update the Key Assignment document title page with a new date and project name.
?Update the previously completed sections based on the instructor’s feedback.
?Create the following new section: ?Management of Small Projects ?Develop your small acquisition project schedule using MS Project (tasks, predecessors, duration, and resources assigned).
?Copy a screen print of the schedule and Gantt chart into this shell.
?Copy a screen print of the critical path network diagram, or of the Gantt screen of the Tracking Gantt view showing the critical path into this shell.
?Describe the specific processes that you will use within each of the 5 Project Management Institute (PMI?) process groups: initiating, planning, executing, monitoring, and controlling and closing.

#5 Assignment Objectives
Describe project management principles as they are currently applied to both governmental and non-governmental acquisition projects.
Identify the fundamentals of cost, schedule, and technical performance management of major projects and relate these to the management of small projects.
Discuss and apply system acquisition principles.
Use effective communication techniques.
Use team and problem-solving skills to collaborate on a project.
500 words

Whether a project is being developed from scratch or is acquired, project management is still necessary through the final delivery. In this Discussion Board, you will consider what the differences are by applying system acquisition processes and principles.

The following Discussion Board research will assist you in determining what each of these dimensions means. Research at least 2 sources (which may include your textbook) to support your response.
?Explain how you will refine your system acquisition project schedule of activities and deliverables that will also be incorporated in your Key Assignment project plan. (In reviewing your initial project schedule, what additional activities or deliverables did you discover that might also need to be included?)
?What evaluation techniques will you use to determine which seller has the best system that you are hoping to purchase? What information will you ask for in the request for proposal (RFP)?
?What information will you require from the selected vendor in terms of project status and budget?

Include an introduction and conclusion to this topic. Be sure to include your references and citations, and format your submission in APA format.

#6 Assignment Objectives
Describe project management principles as they are currently applied to both governmental and non-governmental acquisition projects.
Discuss and apply system acquisition principles.
Use team and problem-solving skills to collaborate on a project.
System Acquisition Principles
Word document, 900 words of new content

Assignment

In the Discussion Board, you looked at the tasks that should be included in the project plan, so you will go back and update your project plan to include these tasks. You will also develop your request for proposal (RFP) based on Discussion Board. Prepare a table of the evaluation criteria that you will use to select your top vendor. Finally, you will present a status update process diagram and describe the process for the vendor to communicate status.

Deliverables

The following are the overall project deliverables:
?Update the Key Assignment document title page with a new date and project name.
?Update the previously completed sections based on the instructor’s feedback.
?Create the following new section: ?Acquisition Project Guidelines ?Update the project plan and Gantt Chart with acquisition project activities with MS Project, and copy it into this section.
?Develop a request for proposal (RFP) template for the acquisition project with the elements discussed in the Discussion Board for this week.
?Develop a table with the vendor evaluation criteria.
?Diagram and describe the vendor status update process.

#8 Assignment Objectives
Identify the fundamentals of cost, schedule, and technical performance management of major projects and relate these to the management of small projects.
Use effective communication techniques.
Investigate current costing methods and tools available to assist the project manager.
Use team and problem-solving skills to collaborate on a project.
Cost Methods & Tools
1,500 words with new content 10 total pages, including 2 empty sections
NOTE this is a table for this assignment (#8) that I attached also
Assignment
You are now ready to apply costing methods, tools, and techniques to your project. There are many of these available to assist you in determining your overall budget, as well as to estimate the durations for individual tasks. These methods could include the following:
?Expert judgment
?Analogous estimating
?Parametric estimating
?Bottom-up estimating
?Three-point estimating
?Reserve analysis
?Cost of quality
?Project management estimating software
?Vendor bid analysis

You will be responsible for using your plan that you developed in Weeks 2 and 3 to estimate your budget for your key assignment project. You should apply 2 of the above methods to determine a worst-case scenario budget. Please put your calculations in a spreadsheet similar to the following:

Deliverables

The following are the overall project deliverables:
?Update the Key Assignment document title page with a new date and project name.
?Update the previously completed sections based on the instructor’s feedback.
?Create the following new section: ?Costing Methods and Tools ?Select 2 of the costing methods, and discuss why they will support developing a realistic budget.
?Provide an example of computations for a few of the activities for the 2 selected methods.
?Fill in a table similar to the example table so that your 2 different total project budgets are based on the 2 selected methods.
?Discuss what type of contingency budget you will put in place based on the 2 budgets to mitigate an underestimation.

Prepare:?The topic of your essay needs to be a global societal problem from the following list: adult illiteracy, funding for General Education vs STEM in primary and secondary schools, minimum wage, oceans desertification, overcoming the digital divide, refugee (escaping persecution, war, or death) crises, species extinctions (modern), tax havens, Transatlantic Trade and Investment Partnership (TTIP), universal statement of human rights (pick one), airport security, or wealth disparity. Review this?GEN499 Sample Final Paper?Guide for additional guidance on the expectations of this assignment.

Reflect:?Based on the topic that you have chosen, you will need to use critical thinking skills to thoroughly understand how this topic can be a global societal problem and determine some logical solution(s) to the problem.

Write:?This Final Argumentative Essay will present research relating the critical thinker to the modern, globalized world. In this assignment, you need to address the following items in separate sections with new headings for each:
Identify the global societal problem within the introductory paragraph and conclude with a thesis statement that states your proposed solution(s) to the problem. For guidance on how to construct a good introduction paragraph, please review the?Introduction Paragraph Guideline?from the?Ashford Writing Center.
Describe background information on how that problem developed or came into existence. Show?why?this is a societal problem, and provide perspectives from multiple disciplines or populations so that you fully represent what different parts of society have to say about this issue.
Construct an argument supporting your proposed solution(s). Be sure to consider multiple disciplines or populations so that your solution shows that multiple parts of society will benefit from this solution. Provide evidence from multiple scholarly sources as evidence that your proposed solution is viable.
Interpret statistical data from at least three, peer-reviewed scholarly sources. Do this by discussing the validity, reliability, and any biases; identifying the strengths and weaknesses of these sources; and pointing out limitations of current research and attempting to indicate areas for future research. You may even use visual representations such as graphs or charts to explain statistics from sources. Evaluate the ethical outcomes that result from your solution. Be sure to provide at least one positive ethical outcome as well as at least one negative ethical outcome that could result from your solution, and explain at least two ethical issues related to each of those outcomes. It?s important to consider all of society.
Develop a conclusion as the last paragraph(s) of the essay, starting with rephrasing your thesis statement and then presenting the major points of the topic and how they support your argument. For guidance on how to write a good conclusion paragraph, please review the?Conclusion Paragraph Guideline?from the?Ashford Writing Center.
The Final Argumentative Essay
Must be 3,300 ? 3,900 words in length (approximately between 10 ? 12 pages; excluding title and reference pages) and formatted according to?APA style?as outlined in the?Ashford Writing Center.
Must include a separate?title page?with the following:
Title of paper
Student?s name
Course name and number
Instructor?s name
Date submitted
Running header with page numbers
Must include?in-text citations?from at least 10 scholarly sources. Be sure to?integrate your research?rather than simply inserting it.
Must document all sources in APA style as outlined?here?and?here.
Must have no more than 15% quoted material in the body of your essay based on the Turnitin report. Reference list will be excluded from the Turnitin originality score.
Must include a separate?reference page?that is formatted according to APA style as outlined in the?Ashford Writing Center.
Source Document Requirements:
Multimedia sources (such as videos) may be used, but no more than two such sources may be used. If multimedia sources are used, they must be authored and distributed by credible sources, such as universities, law schools, medical schools, or professors, or found in the Ashford University Library.
Government sources may be used, but no more than two such sources may be used. Examples include whitehouse.gov, state.gov, usa.gov, cdc.gov, etc. These websites can be used to make a stronger point about your proposed soluation within the argument.
Where print documents are used for source materials, those must be peer-reviewed, scholarly journal articles, and academically published books. Popular media sources (e.g., newspapers, magazines, television and radio shows, etc.) must not be used. Materials from advocacy groups (e.g., Greenpeace, Human Rights Campaign, National Organization for Women, etc.) must not be used.
Sites such as ProCon.org and Wikipedia must not be used.
Religious texts must not be used.
Good Critical Thinking Tips:
Your paper should include academic sources that explain multiple sides of the issue.
Your interpretations of the evidence should be objective and state the conclusions and theses presented in the evidence clearly and fairly.
Your paper should place the various forms of evidence in relation to one another and demonstrate why one form or perspective is stronger than the other positions that one could take on the issue.
Your paper should point out the limitations of current evidence and attempt to indicate areas for future research.
Writing Tools:
Before you submit your written assignment, you are encouraged to review the?The Grammarly Guide: How to Set Up & Use Grammarly?tutorial, set up a Grammarly account (if you have not already done so), and use Grammarly to review a rough draft of your assignment. Then carefully review all issues identified by Grammarly and revise your work as needed.

Shifting and shifting is a tedious and hectic task it involves many duties simultaneously. when is shifting locally then he can take the help of friends and colleagues to shift the goods but holding and lifting goods is risk one can get injuries while moving and shifting the goods. So you definitely hire packers and Movers Company so as to have a hassle free very safe relocation. If you are moving in Pune or even outside the town to another then you must hire packers and movers Pune as they provide simple shifting at best and affordable prices. The company has trained and skilled employees that work in team for providing you a fairly easy and safe new house purchase. packers and movers in pune
movers and packers in bangalore
Shifting requires your treasured time, manpower and plenty of means and this also requires lots of responsibility as you need to take utmost treatment while packing your home goods and for that you need high quality PACKAGING MATERIALS then you need labors who can assist you to load and unload the goods and a vehicle to transport items at the new place and this will cost you lots of means so when you need to pay for money even though you are doing it yourself then it’s preferable to hire packers and movers where you just need to pay them and then they will do your tough job on behalf of you providing you with a hassle free relocation.

Packers and movers Gurgaon uses the presentation materials of TOP quality that can keep your goods safe from damaging and it can be transportation safely at your new place. They have team users that work for different works like one team for packing that know how to pack the stuff with good care especially with fragile and furniture and then loads it into the truck for transporting it. The next step is to transfer the goods at your new address and this is the most crucial stage as this involves many risk even a single mistake will cost you a lot after all it’s all about the protection of your expensive goods. Then the other team unloads the goods and rearranges it at your new house safely. The best part of packers and valerse Pune is that they even do insurance for safety of the goods so that when however the goods gets damage while transporting it because of them then they also compensate the loss you gonna suffer. This way you don’t have any risk to hire packers and movers Pune you can simply entrust your goods to them for transferring as they are expert and your goods are in safe hands

Monarch Associates, a U.S. COMPUTER PARTS manufacturer, entered into a joint venture with a Russian computer technology company, Vladir Unlimited. The joint venture agreement was signed by both parties but created by Vladir and had an arbitration clause that called for all legal and nonlegal disputes, to be arbitrated in Russia. Vladir could also choose arbitrators from a panel maintained by the Russia Arbitration Institution. The panel members live in Russia.
Monarch now contends that a legal dispute with Vladir should be handled in the United States. Vladir insists that the dispute should be handled in Russia.
Using your textbook, the Argosy University online library resources, and the Internet, research international law and its application to companies such as these. Write a five-page paper in Word format. Apply APA standards for writing style to your work.
Use the following file naming convention: LastnameFirstInitial_M1_A3.doc.
Respond to the following questions in your essay:
What laws govern arbitration in the U.S.? In Russia?
In your opinion, in which country should the dispute be handled?
What are the advantages and disadvantages for Monarch Associates under the arbitration arrangement?
If you were Monarch Associates? in-house counsel, what advice would you give them on negotiating future joint ventures with Russian businesses?
What other considerations should Monarch Associates keep in mind in the formation of any future contracts with foreign companies?
Submit your assignment to the W1: Assignment 3 Dropbox by Wednesday, January 4, 2017.
Assignment 3 Grading Criteria
Maximum Points
Evaluated and explained the legal aspects of contracting internationally.
35
Explained the applicability of the arbitration clause in this setting.
35
Applied the legal principles to the facts to describe potential outcomes.
15
Supported statements with reasons and research.
10
Applied APA standards for editorial style, expression of ideas, and format of text, citations, and references.
5
Total:
100

Mental health care is a primary concern to social workers, who are the main providers of care to populations with mental health diagnoses. The system that provides services to individuals with mental health issues is often criticized for being reactive and only responding when individuals are in crisis. Crisis response is not designed to provide on-going care and is frequently very expensive, especially if hospitalization is involved.
Critics suggest a comprehensive plan, which involves preventive services, as well as a continuum of care. However, there are few, if any, effective and efficient program models. Social work expertise and input are vital to implementing effective services. Targeting services to individuals with a diagnosis of mental illness is one strategy. Another approach includes providing an array of services that are also preventative in nature. How might these suggestions address potential policy gaps in caring for individuals such as the family members in the Parker Family case?
For this Discussion, review this week?s resources, including the Parker Family video. Then consider the specific challenges or gaps in caring for individuals with a chronic mental illness might present for the mental health system based on the Parker case. Finally, think about how environmental stressors, such as poverty, can aggravate mental illness and make treatment more challenging.
Post an explanation of the specific challenges or gaps in the mental health care system for the care of individuals with chronic mental illnesses. Base your response on the Parker case. Then, describe how environmental stressors, such as poverty, can aggravate mental illness and make treatment more challenging.