GASTROINTESTINAL DISORDERS ESSAY

Gastrointestinal Disorders
Gastrointestinal Disorders

Gastrointestinal Disorders

Order Instructions:

To prepare:

• Review “Gastrointestinal Disorders” of the Burns et al. text.
• Review the provided case studies. Analyze the patient information.
• Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
• Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
• Consider strategies for educating patients and families on the treatment and management of the gastrointestinal disorder.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the gastrointestinal disorder.

Case Study 2:

Victoria is a 15-year-old who complains of chronic sore throat and bad taste in her mouth. Her height and weight are appropriate for age and she remains on the same growth trajectory since infancy. Abdominal examination and chest examination are negative. History reveals frequent burping and occasional feelings of regurgitating food. Diet history reveals she eats a balanced diet, but her primary sources of fluids are coffee, tea, and carbonated drinks.

SAMPLE ANSWER

GASTROINTESTINAL DISORDERS

GASTROESOPHAGEAL REFLUX DISEASE

A female adolescent reports chronic sore throat accompanied by bad taste in her mouth. Her growth trajectory has been consistent since birth and the body mass index is normal. Both abdominal and chest examinations are normal. History taking reveals frequent burping and regurgitating of food reported to be occasional. On further history taking, she reports that she takes a balanced diet, but her common sources of fluids are coffee, tea and carbonated drinks.

The diagnosis for this patient is gastroesophageal reflux disease (GERD). This is characterized by symptoms such as heartburn, regurgitating of food, sore throat that doesn’t go away for a while and bad taste in the mouth among other signs (TeensHealth, 2015). Although occasional regurgitation of food may be common to everyone, it is a classic sign of GERD especially when it is not associated with nausea. WebMD (2015) defines gastroesophageal reflux as “the return of the stomach’s contents back up into the esophagus”. WebMD further suggests carrying out a special x-ray test known as barium-swallow radiograph that would help rule out other possible problems.

Treatment and management

If GERD is left untreated, serious pathologic changes in the esophageal lining may occur which may develop into more complicated disorders. For this mild case, early treatment would be appropriate which would include Proton pump inhibitor (PPI) such as Omeprazole 20mg once a day before meals for four weeks (PDRHealth, 2015)  This would provide a more rapid symptom control and better healing. The chronic sore throat and bad taste in her mouth would be addressed by educating the patient  some diet and lifestyle changes such as reducing or avoiding fluids and foods containing caffeine and nicotine and carbonated snacks, taking smaller but frequent meals and eating two to three hours before bedtime.

Differential diagnosis

A patient presenting with the above symptoms would also be suffering from stomach ulcers which would be due to bacteria H.Pylori. The bacteria increase the acid content in the stomach, therefore presenting similar symptoms as GERD.

References.

PDRHealth 2015; Physicians’ Desk Reference  from http://www.pdrhealth.com/drugs/prilosec

TeensHealth 2015, Gastroesophageal Reflux Disease. Retrieved from http://kidshealth.org/teen/diseases_conditions/digestive/gerd.html?tracking=T_RelatedArticle#

WebMD 2015, Heartburn/GERD Health Center retrieved from http://www.webmd.com/heartburn-gerd/guide/reflux-disease-gerd-1 last review January 2015

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Pain Management for the Obstetric Patient Paper

Pain Management for the Obstetric Patient
Pain Management for the Obstetric Patient

Pain Management for the Obstetric Patient Paper

Order Instructions:

Inked item M6A3: Pain Management for the Obstetric Patient Paper
Helping a woman manage discomfort and pain associated with pregnancy, labor, birth and recovery from birth is an essential role of the registered professional nurse.

Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that addresses the comfort and pain relief needs of the antepartum, intrapartum and postpartum patient.

A minimum of three (3) current professional references must be provided. Current references include professional publications or valid and current websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.

The paper consists of two (2) parts and must be submitted by the close of week six.

Part one (1) looks at the causes and management interventions of discomfort and pain during pregnancy, labor, birth and recovery from birth.  Part two (2) is a component of a teaching plan the registered nurse would use to assist an antenatal patient make an informed decision regarding pain relief measures to be used during labor and birth.

Part 1

A. Identify and explain two (2) sources of pain for the antepartum patient, intrapartum patient, and postpartum patient during an uncomplicated pregnancy, labor, and recovery from the birthing process.
B. Identify one (1) pharmacologic and two (2) non pharmacologic pain management measures for the intrapartum patient.  Explain the benefits and risks of each of these pain management measures.

Part 2

In order for the woman to make an informed decision regarding pain relief measures to be used in the intrapartum period, the information needs to be provided in the antepartum period.

Before finalizing a teaching plan for the pregnant woman, her history needs to be assessed to determine any variables that may affect the content of the teaching plan.  For example, are there any language variables/barriers that will affect care provided during labor and birth?

A.  Identify three (3) variables unique to the pregnant patient that need to be considered when developing a patient specific pain management teaching plan for the antepartal patient preparing for labor and birth.  Provide an explanation why each of these three (3) variables needs to be considered when developing a teaching plan for an obstetric patient.
B. Select two (2) non-pharmacologic pain relief options used in the intrapartum period.  For each option, explain three (3) specific points of information related to this pain relief option that needs to be taught to the patient.  Include rationales for each piece of content regarding why you would need to incorporate this information.

Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format.

SAMPLE ANSWER

Part 1a; sources of pain in antepartum, intrapartum and postpartum

The period between when a child is conceived and the period a child is born is referred to antepartum. During this period, the expectant mother undergoes numerous morphological as well as physical changes as the child develops. This is why it is important to attend prenatal clinics so that the nurses can assess these morphological changes to determine if they are normal of putting the expectant mother at risk. Patient should be taught on ways to maintain physical activeness and appropriate nutrition. Most health complications experienced by the antepartum patient is attributable to changes in body hormones, including progesterone levels, estrogen, gonadotrophin and lactogen. The two main sources of pain are abdominal pain and pelvic pain. The abdominal pain is due to the stretching of the uterine muscles and expansion of the ligaments to accommodate the growing fetus. This process is often accompanied by other physiological disturbances such as nausea and fatigue. The pelvic pain also occurs due to the enlargement of the abdomen area which causes the pelvic bones adjust accordingly to support the increase of the growing abdomen (Sandra, Judith, & Jean, 2015).

Intrapartum occurs when one is undergoing labor. This natural process comprises the expulsion of the fetus, the placenta, and membranes. Sources of pain during this time arise due to the uterine contractions. The contractions are progressive with the cervix dilation. Picotin and prostaglandin hormones normally stimulate the pains. The uterine contraction pain and intensity increases as the baby is about to be expelled. The contractions increase with activities that increase myometrial such as walking. Initially, the pain occurs in the form of cramping just like when one is undergoing menstruation and increases with time. The first hours of labor, the expectant mother is able to control the pains, as they are usually mild. The intrapartum patient can be taught on effective strategies to manage the pain (Demirel et al., 2013).

Postpartum refers to the period just after birth, mainly the first four hours following birth. This period is described by excitement and joy, but also pain due to the hemorrhages that may have occurred during the birth. The main sources of pain are lacerations that could have occurred during giving birth process. In some cases, the uterine cramping can continue and pain in the lochia rubra. Pain management during this stage is controlled using narcotics, anti-inflammatory analgesics that are non-steroidal and where necessary, topical antiseptics could be applied (Chaillte et al., 2014).

Part 1b; pain management for intrapartum

The pain management in intrapartum can be controlled following pharmacological and non-pharmacological interventions. Following pharmacological approaches, the nurses can provide the patient with sedatives to help the patient relax. However, these medications should be used with caution because the sedative often present adverse effects to the baby and the mother. In many cases, the use of sedatives makes the mother relax, and feel drowsy. This could present difficulties in concentrating especially when pushing the baby. The cardiovascular effects are also associated with alteration of the cardiovascular system. This includes lowering of the heart rate, which is often linked with difficulties in child’s breathing and even reflexes after birth. These medications must be avoided and should only be given when necessary and in small dosages. Additionally, these medications must never be administered to a patient who is about to deliver (Sandra, Judith, & Jean, 2015).

In the late stage of intrapartum, the best intervention is non-pharmacological intervention. The nurses must provide the patient with techniques that will enable them cope with pain, fear, and anxiety that results. One of the techniques that can be applied is controlled breathing technique. This intervention is important because it relaxes the muscles, which are often tensed. Anxiety induces endocrinal system, which produces hormones that cause the muscles to become tense. Tense muscles cause interference with the contractions of the uterine wall, leading to a complication during delivery. Counseling intervention has also been associated with increased relaxation of the uterine muscles (Green, 2011).

Nurses should constantly encourage the expectant mother by constantly verbalizing the patient ability to cope with the pain and the delivery process. If available, the patient can be encouraged to participate in activities that divert their focus form pain. These include activities such as walking, massage and the use of the birth ball. The patient should be well educated on about the gestation period and what to expect during the labor process. This way, the expectant mother becomes psychologically prepared about the process. Thus, it can face the whole process with confident. Anxiety is believed to stimulate the endocrinal system where the brain stimulates the production of the adrenal corticoid hormones, which is often associated with the reduction of blood flow to important body structures such as the fetus and the placenta. Evidence based research indicates that an informed patient  has less tension which increases blood flow to the fetus and to the muscles during the uterine contraction process and during  delivery (Chaillte et al., 2014).

Part 2a; variables considered when designing a teaching plan

Nurses   are mandated in empowering patients so that they can case manage their healthcare complications. The process of case management   and teaching is challenged by various factors, including cultural barriers, patient literacy and linguistic barriers are some of the barriers that affect a successful outcome of a teaching plan. The first key variable that should be assessed is cultural values and respects. This is because cultural values determine if the patient will follow the set interventions or cultural aspects interfere with the established interventions. For instance, in some cultures, the patient is not allowed to take some types of food during pregnancy or even to carry out vital activities during pregnancy period (Green, 2011).

The patient medical history is important. This is especially valuable in order to understand previous consumption of medication to avoid adverse interactions. In some cases, the expectant women can be consuming harmful drugs such as opiods, smoking, and heroin. These drugs are associated with adverse effects such as Fetal Alcohol Spectrum Disorders, which associated with numerous neuropathologies. Patients who are addicted should be treated using diazepam and other necessary support (Sandra, Judith, & Jean, 2015).

The patient medical history is also very important. This involves the history of relatives. This is because some health complications are inherited and genetic. Other relevant information includes number abortions, the number sexually transmitted infections (STIs). The number of previous pregnancies, existing children, and their health status of the children must be recorded. In the first and the second trimester, pain is an indication of an issue with the physiological process, and if the pain is very severe, the physician should be consulted. In the last trimester, pain is an indication of labor. Labor pain varies from person to person and is unique. Mother’s reaction to pain differs according to the patient physiological preparedness. Patient should be empowered effectively to ensure that they could manage the disease comfortably and with ease (Martínez et al., 2012).

The common factors during this process are fear and anxiety experienced by the patients. The emotional status of the parent determines their ability to cope with anxiety the first time mothers   because of the fear of unknown as well as cultural belief. It is important to understand these variables because they facilitate in designing of the patient education plan. Additionally, different stages of labor will require different approach to manage pain. For instance, the first trimester time pain can be manageable, but in the last trimester, the dilation of the cervix and contractions of the uterine walls could require non-pharmacological intervention such as breath relation technique or massage (Demirel et al., 2013).

Part 2b Non-pharmacological pain management

Evidence based research indicates that the best intervention to manage anxiety is through breath relaxation. Anxiety arises when the patient is inadequately informed about the processes and physiological activities during the gestation period. Anxiety can also arise due to mixed emotions of excitement and fear. The interventions should ensure that patient integrity is sustained; this can be done by drawing curtains when attending to an  expectant woman to ensure that privacy is maintained. The reduction of exposure indicates respect and promotes the patient relationship with the staff (Chaillte et al., 2014). This mutual relationship makes the patient feel more comfortable and more relaxed, reducing the rate of anxiety. It is also important to value cultural beliefs and values give the patient sense of belonging, which empowers the patient to manage pain. The breath relaxation technique enables the patient cope with anxiety, which helps in managing pain because it helps relax muscles. This is because tense muscles cause interference of fetal descent, which is often associated with increased fatigue. The fatigue increases pain perception negatively affecting patient ability to cope. It also increases mother’s confidence   improving their ability to cope with pains (Demirel et al., 2013).

The use of massage enables pain relief especially during the initial stage of labor. The source of pain during this stage is due to dilation of the cervix caused by the hypoxia or the contractions of the uterine muscles. The aim of this intervention is to ensure that patient verbalizes pain relief indicating that the patient is coping with uterine contractions. It also facilitates the process of voiding. Full bladder increases pain intensity and discomfort. The massage enables pain distraction, and can be coupled with other destruction activities such as watching TV, music, or talking (Chaillte et al., 2014).

References

Chaillet, N., Belaid, L., Crochetière, C., Roy, L., Gagné, G., & Moutquin, J. et al. (2014). Nonpharmacologic Approaches for Pain Management During Labor Compared with Usual Care: A Meta-Analysis. Birth, 41(2), 122-137. doi:10.1111/birt.12103

Demirel, I., Ozer, A., Atilgan, R., Kavak, B., Unlu, S., Bayar, M., & Sapmaz, E. (2013). Comparison of patient-controlled analgesia versus continuous infusion of tramadol in post-cesarean section pain management. J Obstet Gynaecol Res, 40(2), 392-398. doi:10.1111/jog.12205

Green, C.J. (2011). Maternal newborn: Nursing care plans. Jones  and Bartlett Learning. Burlington

Martínez, B., Canser, E., Gredilla, E., Alonso, E., & Gilsanz, F. (2012). Management of Patients with Chronic Pelvic Pain Associated with Endometriosis Refractory to Conventional Treatment. Pain Practice, 13(1), 53-58. https://www.doi:10.1111/j.1533-2500.2012.00559.x

Sandra, M., Judith A, D., & Jean, W. (2015). CNE SERIES. Pain Management in the Post-Operative Pediatric Urologic Patient. Urologic Nursing, 35(2).

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Information Technology to develop a competitive

Information Technology to develop a competitive advantage
     Information Technology to develop a competitive                                                  advantage

Information Technology to develop a competitive advantage.

Quirky.com is a new technology company. http://www.quirky.com

Need to analyse How Quirky used IT to develop a competitive advantage (both techniques and applications)

First, Identification and Discussion of Information Technology (IT) techniques and how it gave them competitive advantage. How it works and how the
information technology help business improve the process or something.

Second, applications implementations and how it gave them competitive advantage.
Please answer the questions separately by making the necessary references.

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Corporal punishment techniques Assignment

Corporal punishment techniques
         Corporal punishment techniques

Should parents discipline their children by using corporal punishment techniques, such as spanking? Or is a nonphysical approach more conducive to raising mentally and emotionally healthy children?

Complete a 5-6 page argumentative topic written in
an informational essay style research paper for class. This paper will address a debatable topic which focuses on an academic topic of social, political or culture relevance. You will be providing both sides to the debatable topic, but will NOT be providing your opinion or side. Each side will be neutrally presented allowing your audience to make their own decision as to which side to take.

  • Length: 5-6 pages excluding cover page, abstract, and references
  •  Purpose: Argument—addresses a debatable topic on an academic topic of social, political, or cultural relevance.
  • Audience: General, college level, academic (third person only!)
  • Organization: Topical
  • Sources: Minimum of 11; minimum of 5 academic.
  • Format: APA 6th Edition

Please stick to the topic and follow all parts of the Instructions.

If you may have any questions or any problems during the time period please contact me as soon as possible.

If possible, please send me and outline or first draft to be reviewed.

As you know this paper should be in third person only. please let me know to whom this paper would be viewed by such as students, parents, doctors, nurses, regular people, etc

And please inform me in a message what type of sources you are planning on using.

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Arab Spring Bibliography Assignment

Arab Spring
Arab Spring

Arab Spring Bibliography

The assignment is annotated bibliography (find seven articles then summarize each article and with APA citation in half page)
1- Please try to use simple English as you can
2- My general topic is about Arab Spring
3- I need one article background about Arab’s culture
4- One article about Arab political at this certain time
5- One article about the freedom of speech in w Middle East.
6- One article regarding the law of speech in Arab world
7- One article about the use of social Media in Arab world
8- Two articles about the rule of social Media in Arab Spring
9- In the flyer the instruction of the assignment and some sample, so you have to follow it.
10- You should cite each article in the same the articles’ sample citation.
11- You have to write just the important information from each article.

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Aristotle Ethical Philosophies Essay Paper

Aristotle
                  Aristotle

Aristotle

In contrast to ethical philosophies that focus on moral obligations, pleasure, or utility, Aristotle’s ethics centers on his unique understanding of the good life, which aims at happiness or “flourishing” (eudaimonia) by means of the habitual cultivation of virtue (areté).

For this assignment, please write a short paper that examines the role of virtue in the good life by carefully comparing Aristotle’s account, given in Books 1-3 of his Nicomachean Ethics (Marino, 43
-84) with another text that describes moral virtue.
N.T. Wright, “What Am I Here For?” (Blackboard). N.T. Wright is a New Testament scholar who has written numerous books on Jesus Christ, the Apostle Paul, and the early church. This essay is from his recent book After You Believe: Why Christian Faith Matters (2012). He notes that while Christian ministers, pastors, and priests often focus on getting people to believe in Christianity, or to join the church, they are rarely able to describe how life is supposed to be different after someone believes. To address this challenge, he considers the moral teaching of the New Testament according to the category of “character,” which he believes to be synonymous with “virtue.”

Writing Instructions

This essay requires careful reading of Aristotle’s text, which is complex and often difficult to summarize. In order to make sense of Aristotle’s views, it will be important to show the connection between his main ideas, such as: happiness/flourishing (eudaimonia), virtue, habit, and the doctrine of the mean or
intermediate. This summary of Aristotle is a central part of your paper, and you should strive to write it concisely and accurately.

In writing about your comparison text, your essay should clearly explain how it relates to Aristotle’s conception of ethics. In developing this section, you
may want to consider the following questions:

  • What insights does this text provide for ethics?
  • How does this text compare to Aristotle’s understanding of virtue?
  • Does this text largely agree with Aristotle and so provide additional support for his ideas, or does it offer a criticism or an opposing position?

Suggestions for Writing a Successful Paper:

You should compose your paper as if writing for a general audience, made up of persons who are intelligent but unfamiliar with the authors or texts you are discussing.

Your introductory paragraph should clearly communicate both the topic and the thesis of your essay. The function of this introduction is to orient the reader to what you are writing about and to the position you are arguing in the paper. Your paper should also include an appropriate conclusion paragraph that sums up your argument and restates your overall position.

Although this paper is short and focuses on interpretation, it still requires that you identify and defend a clear thesis. This means that your paper should not merely be a collection of general statements or assertions about a text, nor should you simply give your opinion without offering adequate support.

Instead, you should back up your explanation with examples or evidence from the texts. In other words, you should give your readers reasons for thinking that what you are saying is accurate.

It is important to recognize the difference between thesis statements and themes/topics. A theme or topic simply names the issue under discussion in the
paper, while a thesis statement makes a claim about that issue. For example, this sentence names a theme/topic: “In this paper I will talk about Aristotle,
the New Testament, and virtue.” By contrast, this thesis statement makes a particular claim about that topic: “In contrast to Aristotle’s description of
moral virtue as cultivated by natural habit and upbringing, the New Testament presents genuine virtue as a gift of the Spirit.” For more information on thesis statements, see http://www.unc.edu/depts/wcweb/handouts/thesis.html.

Your sentences and paragraphs should clearly communicate what you are trying to say, and you should organize these in such a way that readers can easily see how your individual points relate to the paper’s overall argument. Avoid excessively informal language, contractions, sentence fragments, and run-on sentences. Also, take care to structure each paragraph around a unified and coherent theme that relates to your thesis. (For more information on writing clear and effective paragraphs, see http://www.unc.edu/depts/wcweb/handouts/paragraphs.html.

Writing a strong and successful paper requires backing up your claims with fitting quotations. There is no specific number of quotations that you should use, but in general it is better to use several brief quotations rather than a few long ones. When including a quotation, make sure that it fits in with what you are writing in a way that will be clear to your readers. In some cases, you may need to provide additional information to clarify the meaning of the
quotation.

This assignment does not require any additional research beyond the texts mentioned. However, you are welcome to use additional sources for help, provided that you cite them. You may want to consult the following online source on Aristotle: http://plato.stanford.edu/entries/aristotle-ethics/. If you are writing on Aristotle and Augustine, you may also find this page helpful (especially section four, “Ontology and Eudaimonism”)
http://plato.stanford.edu/entries/augustine/. If you consult these sources, be sure to list them (along with any other sources) in a bibliography or works
cited page, even if you did not quote them in the paper.

Formatting Guidelines

  • Please give your paper an appropriate title. (You do not need a separate title page). Include your name and the date on the first page of the paper, either
    on the top left corner or the top right corner.
  • The paper should be 3-4 pages, in 12 point Times New Roman font, with 1” margins.
  • The paper should be formatted according to the Chicago Manual of Style. (For more information on this style, see
    http://www.chicagomanualofstyle.org/tools_citationguide.html.) However, for the sake of simplicity, you may cite the texts parenthetically with the author’s name followed by the page number, as “(Aristotle, 25)” or “(Wright, 10).” You can also cite the additional chapters from Augustine’s City of God, Book XIX (on Blackboard) as “(Augustine, Ch. 25).” If you are choosing your own text, you may also cite it in parentheses with the author’s name and page number, but be sure to include the full information in the bibliography.
  • Bibliographic entries in Chicago style should be formatted as followed (this is the entry for the Wright text):
    Wright, N.T., “What Am I Here For?” in After You Believe: Why Christian Character Matters (New York: HarperOne, 2016), pp. 1-26.
  • Your bibliography should include a citation from every source that you consulted for the paper. The bibliography will not count as one of your pages.

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Training Needs Assessment simulation

Training Needs Assessment simulation
Training Needs Assessment               simulation

Training Needs Assessment simulation

Order Instructions:

Training Needs Assessment simulation (email from SR HR Generalist:

Hey … it looks like you’re going to hit the ground running. I just found out that we’re going to need to support training needs associated with opening the new plant, on-boarding all the new hires, and addressing the needs that the sales force will have. I am going to want you to be part of developing a comprehensive training design plan for all of this, but for now, I need a somewhat informal assessment of the training needs for the supervisors.
I’d suggest that you review the announcements that are on the company intranet — there is a press release and a company-wide announcement that should give you some of the background information you need. Then, put together a brief questionnaire and decide who to use as your SMEs.
Remember that people are very busy with this project, so you may not be able to ask every question you think relevant or talk to every person whose input would help. Choose wisely!
I’ll follow up with you later. Good luck!

Addressing the following in your analysis:
• Justify the questions you selected for the SME interviews.
• Justify the SMEs you selected to interview.
• Analyze the training program objectives, based on the SME interviews.

SAMPLE ANSWER

Introduction

Training Needs Analysis (TNA) is a significant element for CapraTek since these remains the systematic training cycle and a process where human capital practitioners undertake in identifying the gaps that exist in employee knowledge. CapraTek is known in the provision of non-downloadable on-line interactive simulation software for the purposes of education that simulates the situations within the real-world issues for helping students in the human resource field (Shipley, & Golden, 2013).  The basis of the structure for an efficient and social responsible training and development framework is in assessing the gaps that exist between employees by determining where they are and what they require in terms of knowledge, attitudes, and skills.

However, it is essential to note that the primary purpose of a TNA may have different meanings depending upon an organization and its people within the process, thus resulting in a misunderstanding of the expectations of what needs to be achieved. TNA derives a systematic approach to the training needs of employees with its origins based on the need to meet an organization’s needs and objectives (Shipley, & Golden, 2013). It is, therefore, essential to undertake training policies to provide a primary system and management guide for the people involved in the process of designing and developing training programs. Training needs exist in the event that an organization undertakes the initiative of systematic training which serves by solving some areas of weaknesses. This paper, therefore, pursues avenues aimed at developing an informal assessment of the training needs of supervisors.

Training Needs Assessment

Before conducting training needs analysis, it is essential to evaluate the current skills of the staff within an organization, a factor that will help in figuring out those areas that require the most training. A properly structured training plan is one that helps workers improve their areas of weaknesses and boost their productivity and efficiency (Shipley, & Golden, 2013). Through a properly structured training program, organizations can, therefore, put in place approaches that can improve the performance levels of their staff members since they have all it takes to carry out their work responsibilities.

Through the use of a questionnaire, data can be gathered about the performance levels of employees. After collecting the information through the questionnaire, the results are therefore analyzed. This can be done through the determination of the most important areas of skill that is important in an organization (Schneier, Guthrie, & Olian, 2012). Through this, it is easier to determine the areas that serve as the companies weakest points and derive training approaches based on this knowledge. Below is a questionnaire that can be used in the collection of information within an organization. The subject matter expert (SME) chosen for the interview is a training consultant.

Questionnaire

The following questions can be used to get high-quality information;

  1. What are the ultimate goals of the module?

The SME should be in a position to explain the end goals of the training needs assessment. It is important to note that whether this may be in understanding some concepts, complying with training or even learning a new behavior, the SME, and the organization need to be in agreement in designing the purpose training program.

  1. Is it important to divide behavioral and informational subject matter?

In this, it is decisive to note that not all learning and training are developed equally. Some of the times, training modules are purely informational in which learners are able to get more knowledge. It is therefore against this question the SME should explain the goals of the training and what the learners should have achieved by the end of the training period.

  1. Why will this information be relevant to the users?

In this, it is significant to mention that subject matter experts have a wealth of knowledge but this may be the case of too much of good things. Sometimes SME may end up being excited by a topic and their input into the issue may turn to be data dump thus leaving the interviewee with the hustles of struggling to find the right information (Schneier, Guthrie, & Olian, 2012). By, therefore, asking the SME of the importance of the area of concern at the onset of the collaboration, since this prepares the SME to share only the targeted and relevant information.

  1. What are learning and training objectives?

The only person who remains in a better position to gain the learning objectives is a passionate individual with the required content. It is, therefore, essential to determine that the discussions on the learning objectives has the capacity to help an interviewee extract valid information that can enable one develop clearly defined learning objectives that can motivate the learners. By knowing when and how they will achieve the end goals, the learners are therefore incentivized.

  1. Is there an approach through which progress can be measured?

The SME is in a capacity to reveal whether or not learner’s proficiency can be measured after the completion of the modules. In most times, the answers may be difficult to measure knowledge-based subjects. In case the information was behavioral, there are many approaches to measuring pure knowledge (Schneier, Guthrie, & Olian, 2012). However, there are many ways to assess the learner’s knowledge through the absorption through the use of tests, simulations and other tools of assessment. It is, therefore, important to consider asking the SME the right question through the creation of learning modules.

Justify the SMEs You Selected To Interview

Choosing the training consultant for CapraTek since it has been possible to collect and analyze qualitative data. The training consultant was selected since it was easier to get access and gather data in order to meet the time constraints of the training program. Before the interview, the acquisition of background information was significant and the potential SME was conducted. The interviews were conducted over the phone via questionnaires that were emailed before the interview (Schneier, Guthrie, & Olian, 2012). The information gathered will be then classified into a broad category or through some functional groups. Once the tasks are grouped together, the training will then be created to convey the relevant information needed.

The choice of the SME was influenced by the constraints of time, the limitations of finding SMEs to collect data from as a result of the history that has been existing on consortiums and the lack of a well structured position of this that is obtainable through the asking of formal and informal questions (Schneier, Guthrie, & Olian, 2012). Through the tailor making of answers by the SME, it will be essential to capture the skills and knowledge including the abilities to complete the training program.

The Training Program Objectives Based On The SME Interviews

As an approach aimed at improving the abilities of employees and performance within their job areas, there was a need to develop some clear and specific objectives for the program that was to be conducted (Schneier, Guthrie, & Olian, 2012). The goals of the training were quantified as a measurable goal that was essential during the process of evaluation. The objectives also acted as a guideline to the trainees on what will be expected of them after the program. The ideal program objectives have been divided into three main parts that include;

  1. Determining the conditions for performance improvement.
  2. Initiating the standards to be achieved.
  3. Terminal behaviors.

Conclusion

Training Needs Analysis (TNA) is a significant element for CapraTek since these remains the systematic training cycle and a process where human capital practitioners undertake in identifying the gaps that exist in employee knowledge. However, it is essential to note that the primary purpose of a TNA may have different meanings depending upon an organization and its people within the process, thus resulting in a misunderstanding of the expectations of what needs to be achieved (Schneier, Guthrie, & Olian, 2012). Before conducting training needs analysis, it is essential to evaluate the current skills of the staff within an organization, a factor that will help in figuring out those areas that require the most training. Through the use of a questionnaire, data can be gathered about the performance levels of employees. After collecting the information through the questionnaire, the results are therefore analyzed

References

Shipley, F., & Golden, P. (2013). How to Analyze and Address Your Organization’s Learning Needs. T+D67(3), 29-31.

Schneier, C. E., Guthrie, J. P., & Olian, J. D. (2012). A Practical Approach to Conducting and Using the Training Needs Assessment. Public Personnel Management17(2),191.  https://journals.sagepub.com/doi/abs/10.1177/009102608801700208

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Kingdom of this world Research Assignment

Kingdom of this world
Kingdom of this world

Kingdom of this world

Reading the novel Kingdom of this world which is written by Alejo Carpentier then answer the questions. Don’t need to refer anything. I will upload the requirement but I can’t provide the novel. Is the writer able to get the novel? Any question just let me know.

There is no minimum requirements for the number of sources you use however as a general guideline an academic paper can have 1 source per hundred words. In regards to the currency of the references, it is generally expected that sources are within 5 years published age. However if you have sourced a reference that is older than this you must demonstrate how it is relevant in your writing.

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Healthy People 2020 Essay Paper Assignment

Healthy People 2020
Healthy People 2020

Healthy People 2020 Essay

Order Instructions:

2020 Objectives 5th paper.
Write a 2-3 page (not including title and reference) paper in 6th edition APA format.
Select one of the Healthy People 2020 objectives and identify how biological risk, environmental risk, and behavioral risk contribute to family health risks for that objective. What are the three major public health problems in your community; how does this impact the health of families?

SAMPLE ANSWER

The Healthy people 2020 is an initiative that aims at promoting health services and disease prevention through bringing together individuals and agencies to work together so as realize the numerous goals and objectives set out by the initiative. One of the objectives of the initiative is to minimize the rate of transmission of HIV among adults and adolescents. According to a statistics report released in 2006, per 100 persons living with HIV, 4.6 new transmissions are reported annually. The objective is to minimize this from 4.6 to 3.5 transmissions by the end of 2020. This is to be achieved through adhering to the numerous set up national programs and a number of enactments such as policies and laws. (In Stanhope & In Lancaster, 2014, pg 683)

There are number of risks that contribute to family health risks when it comes to the realization of the objective.  These risks range from environmental, behavioral to biological risks. Behavioral risks are the major factor that contributes to family risks when it comes to the transmission of HIV. Epidemiological data asserts that behavioral activities such as practicing of unprotected sex are the main means of HIV transmission in both adults and adolescents. Other risk behaviors such as sharing of injecting equipments, blood transfusion and breastfeeding of babies by HIV positive mothers have also been noted as being leading causes of transmission. These behavioral activities account up to 90% of the new cases of HIV diagnosed every day.  The biological risks have been found to affect mostly the adolescents. Girls have been the most vulnerable ones. Before puberty, the exocervix of girls is usually lined with a single layer of columnar cells which leaves them vulnerable to HIV. In young women, HIV usually remains asymptomatic and this also increases the risk of transmission since it is unnoticed and involving in some behavioral activities will lead to the transmission of the disease without noticing. Environmental risks, although not a major factor, also play a role in this. This usually happens when injecting or such sharp objects are dumped recklessly. People can come across these objects, which can be in an accidental manner, and if these objects had come across HIV infected blood, then there is a possibility of HIV transmission. All these risks can contribute to family health risks since after one member of the family is infected, then the rest of the members are at a risk especially if the necessary precautions such as avoiding the sharing of sharp objects and toothbrushes  are not adhered to. (Fan, Conner & Villarreal, 2011, pg 122)

My community, just like many other communities, faces some public health problems. Firstly, most health facilities around have poor infrastructures and limited resources. This has greatly hindered families from accessing quality healthcare for example people who need chemotherapy treatment  and x-ray services have to wait for long periods of time before accessing these services. Secondly, there is limited awareness when it comes to certain diseases such as the sexually transmitted diseases and nutritional related diseases. With this limited awareness, most families are left at a high risk of contracting such diseases.  Lastly, the cost of treatment in most health facilities is usually very costly and since my community is majorly made up of low class members of the socio-economic status, this has greatly affected the health of most families. The costly treatment, leads to many people seeking for the rather cheap over-the-counter treatment. This has led to an increased number of health-related deaths. (Finkel, 2011, pg 12)

References

Fan, H., Conner, R. F., & Villarreal, L. P. (2011). AIDS: Science and society. Sudbury, Mass: Jones and Bartlett Publishers.

Finkel, M. L. (2011). Public health in the 21st century. Santa Barbara, Calif: Praeger.

In Stanhope, M., & In Lancaster, J. (2014). Public health nursing: Population-centered health care in the community.

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Health Hazard Evaluation Program; Healthcare

Health Hazard Evaluation Program
Health Hazard Evaluation Program

Health Hazard Evaluation Program

Order Instructions:

Write a 1-2 page (not including title and reference) paper in 6th edition APA format. Go to the Health Hazard Evaluation program website.(http://www.ced.gov/niosh/hhe/HHEprogram.html)
What is the purpose of this program? How would information from the website be used in a disease investigation?

SAMPLE ANSWER

Healthcare: Health Hazard Evaluation Program

The U.S federal government initiated the Health Hazard Evaluation Program with the aim of promoting health safety in workplaces (NIOSH, 2009). The program gives people a platform on which they would contact experts in NIOSH to evaluate their working places and determine health safety levels (CDC, 2015). The program aims at providing a fast and timely care, and the staff members exploit fast means of communication such as phones to respond to the requests of their clients (CDC, 2015). NIOSH offer recommendation to employers and employees for the appropriate measures to exploit for optimal health safety in their workstations. The program is government sponsored, and it purposes to promote the wellness of the society without any financial interest. The institution also aims at providing safety evaluation care to all interested persons, and it maximizes on informing the community about its services (CDC, 2015). The program also promotes the knowledge of people by allowing them access information from a variety of past evaluations.

Information from the program applies to disease investigation. The program offers information concerning the risk of employers and employees to diseases in their environment. It has established the level of risks that different groups express in their workplaces (CDC, 2014). Such information is of use when seeking measures to protect employees and employers from ailments that occur in workplaces. The program links stakeholders such as health professionals, regulatory agencies, and community wellness groups (NIOSH, 2009). It offers information that would prevent the occurrence of hazards (NIOSH, 2009). The information also earns relevance in handling most diseases owing to its updated nature. NIOSH conducts evaluations on the ground, and its information is reliable, relevant, and suitable to the current time. Stakeholders also use information from the agency to make modifications that reduce the occurrence of occupational ailments (NIOSH, 2009).

References

Centers for Disease Control and Prevention. (2014). 2014 Annual Report. Retrieved from http://www.cdc.gov/niosh/hhe/pdfs/HHE_2014_Annual_Report.pdf

Centers for Disease Control and Prevention. (2015). Health Hazards Evaluations. Retrieved from http://www.cdc.gov/niosh/hhe/

National Institute of Occupational Safety and Health. (2009). National Academies NIOSH Program Review: Health Hazard Evaluations. CDC. Retrieved from http://www.cdc.gov/niosh/nas/hhe/

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