Select several notable crime scene investigations that were mishandled and led to the release of the subject.

Botched Crime Scene Investigations
Select several notable crime scene investigations that were mishandled and led to the release of the subject.
Your term paper must consist of between 6-8 pages, double spaced, with a separate cover and bibliography page.
The paper must have at least 2 outside sources, which may consist of journal articles, books, Internet and official reports.
Select several notable crime scene investigations that were mishandled and led to the release of the subject.

Create a testing policy for your nursing program that addresses each aspect of the NLN Fair testing guidelines, accreditation requirements, best practices, and the checklist for test construction.

The final part of the project is the creation of a testing policy for your nursing program.
Create a testing policy for your nursing program that addresses each aspect of the NLN Fair testing guidelines, accreditation requirements, best practices, and the checklist for test construction.
See upload for further instructions. APA format references must be within the last 5 years
Create a testing policy for your nursing program that addresses each aspect of the NLN Fair testing guidelines, accreditation requirements, best practices, and the checklist for test construction.

Explain how those sources will be helpful in your research. Select one of the topics of historical significance listed below to research, write about, and present.

OverviewThe field of African-American Studies is a relatively new area of research and instruction in many institutions.
According to Azevedo (2019), the need for the study originated from the concerns of black students of predominantly white institutions who felt the need for the black experience to be shared.
Several institutions responded and now many books, articles, and multimedia have been produced that highlight the black experience in America.
InstructionsThe assignments in this course build upon one another. In the first assignment, you will conduct research and gather sources. In the second, you will write a research paper, and lastly you will give a presentation.
For this first assignment, you will be creating an annotated source list that provides historical information about the African-American experience in America from 1619 to the present.
Using the textbook, the Internet, you will need to find and evaluate five relevant, reliable, and credible sources.
Provide a short summary, 3–4 sentences, of each source and how you plan to use it to support your narrative. Explain how those sources will be helpful in your research. Select one of the topics of historical significance listed below to research, write about, and present.
The Civil Rights Movement.
Explain how those sources will be helpful in your research. Select one of the topics of historical significance listed below to research, write about, and present.

How effective is the use of Kidspiration Lite during the pre-writing stage of writing for students who are struggling during the writing process?

How effective is the use of Kidspiration Lite during the pre–writing stage of writing for students who are struggling during the writing process?
Intervention: Describe the intervention you will implement to accomplish the outcomes you seek for your students?
The intervention is the use of a graphic organizer application on an IPad. This application/program is called Kidspiration Lite. It is a program that combines pictures and text for students to make visual connections when planning to write. Kidspiration helps students by providing them with a visual tool that allows them to organize their writing ideas. This electronic graphic organizer will be implemented during the pre–writing stage of the writing process.
Data Collection: Describe the specific approaches you will use to collect data before, during, and/or after your intervention. You need to “triangulate” your data; thus, you need at least 3 different data sources (e.g., tests, observations, interviews). Also, be specific about what each data source measures (e.g., you are using a test that measures reading comprehension or using observation to tally bullying behaviors).

Next, describe the type of data that you obtain with each source (e.g., scores from a test of subtraction facts or a frequency of bully events observed).
Data Source 1: Before applying my intervention, write an opinion paper. The paper will be used as my baseline. When the six weeks have passed, write an opinion paper using the intervention.
Data Source 2:Complete a writing interest survey. The students will complete a survey before starting the pre–test, intervention and then after the intervention is completed. This survey will be used to monitor students’ attitudes towards writing.  Data Source 3: During the first four weeks, complete the pre–writing stage on the IPad with the Kidspiration program. After the four weeks have passed, I will ask the student to apply their planning sheets to their writing.

How effective is the use of Kidspiration Lite during the pre-writing stage of writing for students who are struggling during the writing process?

In what context was the text written for which theoretical purposes was it written what is the argument or reasoning to advance the central idea? In your opinion, what is the significance of the text to the period in which it was produced?

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In what context was the text written for which theoretical purposes was it written what is the argument or reasoning to advance the central idea? In your opinion, what is the significance of the text to the period in which it was produced? – ESSAY MAMBA


Investigate trends in the number of inpatient discharges and the amount of inpatient payments financed by Medicare from 1994 to 2012.

In this exercise, you will use historical Medicare data to analyze trends in the costs of inpatient hospitalizations over time. You have been provided with an excerpt from the 2013 Medicare and Medicaid Statistical Supplement to use as a primary resource. No additional references are required; however, some basic background research may help in interpreting this data. Do not worry about adjusting for inflation.
Prompt:
Investigate trends in the number of inpatient discharges and the amount of inpatient payments financed by Medicare from 1994 to 2012. Compare these trends between two types of beneficiary entitlement categories—aged and disabled—and consider the implications that these trends may have on developing future cost-containment strategies.
In your analysis, make sure to incorporate calculations that support your argument, including at least the following calculations:
The percentage change in inpatient payments (total, per discharge, and per day) from 1994 to 2012, for aged and disabled beneficiaries.
The percentage change in the number of annual inpatient discharges from 1994 to 2012, for aged and disabled beneficiaries.
The percentage of all inpatient payments expended for each entitlement type, in 1994 and in 2012.
Explain your findings in a brief memo that you would deliver to a professional client.
Assume that this client is knowledgeable about Medicare and health care policy but has not studied the results of the Statistical Supplement. Organize your findings into clear and informative summary tables or charts that supplement your written conclusions. These may be integrated into the body of your memo or included as an appendix.
The text of your memo (excluding tables and figures) should not exceed one page in length.
Definitions
The following terms are used in the Statistical Supplement:Beneficiary: A person whose health care services are provided by Medicare.Entitlement Type: The reason for which a beneficiary is eligible for Medicare.Inpatient Hospital Stay: The period during which a beneficiary is treated in the hospital setting following a formal admission. The length of an inpatient hospital stay is measured in days.
Discharge: The point at which a beneficiary dies, leaves an inpatient hospital to return home, or transfers to another type of facility
Investigate trends in the number of inpatient discharges and the amount of inpatient payments financed by Medicare from 1994 to 2012.

What were your appraisal and coping responses, according to Folkman and Lazarus’s model? Define primary vs. secondary appraisal, and describe how your understanding of and response to the stressor changed over the course of appraisal.

Think of a time when you were faced with a severe stressor.
1. What were your appraisal and coping responses, according to Folkman and Lazarus’s model? Define primary vs. secondary appraisal, and describe how your understanding of and response to the stressor changed over the course of appraisal.
2. How did you engage in emotion regulation? That is, what did you do to maintain an optimal level of emotion, so that it did not overwhelm you?
3. Thinking developmentally here. What would your response have been if you had operated at  pick one  either a lower or a higher level of emotional development?
What were your appraisal and coping responses, according to Folkman and Lazarus’s model? Define primary vs. secondary appraisal, and describe how your understanding of and response to the stressor changed over the course of appraisal.

Compare the three perspectives to show how they are, or may be, similar. You’ll contrast the three perspectives to describe how they’re different.

A Comparison of Three Perspectives on the Evolution of Technology Mei Quoran
Your essay should include five paragraphs, as follows:
Paragraph 1 is your lead paragraph. It will contain an overview of what you have to say in comparing and contrasting the perspectives of Gerhard Lenski, Leslie White, and Alvin Toffler with respect to the evolution of technology.
Paragraphs 2, 3, and 4, are your body paragraphs.
In your essay, use paragraph 2 to describe the perspective of Gerhard Lenski.
In paragraph 3, you’ll write about the perspective of Leslie White.
In paragraph 4, you’ll describe and discuss the perspective of Alvin Toffler.
Paragraph 5 is your summary and conclusion. Here, you’ll compare the three perspectives to show how they are, or may be, similar. You’ll contrast the three perspectives to describe how they’re different.
You’ll end this process–and your essay–by expressing your view as to which of these theorists (one or more) offer the most useful insights into the evolution of technology, in your opinion.
It’s permissible to use direct quotes from your reading, but don’t use too many. One to three such quotes should be your limit. Be sure to put a direct quote in quotation marks. For example: According to Smith, “Carbon dioxide is both our friend and our enemy.”
Begin by writing a first draft. Then, edit and rework your material to make it clear and concise. After you have reached a final draft, proofread the essay one last time to locate and correct grammar and spelling errors.
Compare the three perspectives to show how they are, or may be, similar. You’ll contrast the three perspectives to describe how they’re different.

Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.Explain the general purpose of the failure mode and effects analysis (FMEA) process.

Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event, such as the one described in the scenario . Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.
SCENARIOIt is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.
Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, and R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at 10 out of 10 on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B’s leg is stabilized and then is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. Nurse J finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After Mr. B’s assessment is completed, Nurse J informs Dr. T, the ED physician, of admission findings, and Dr. T proceeds to examine Mr. B.
Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at 4 out of 10 on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by Dr. T and are awaiting further treatment or orders.
After evaluation of Mr. B, Dr. T writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication hydromorphone is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.
Finally, at 4:25 p.m., the patient appears to be sedated, and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m.,and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are enroute with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time, Nurse J leaves Mr. B’s room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35 p.m., Mr. B’s B/P is 110/62 and his O2 saturation is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.
Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows “low O2 saturation” (currently showing a saturation of 85%). The LPN enters Mr. B’s room briefly, resets the alarm, and repeats the B/P reading.
Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering of respiratory treatments, CXR, labs, etc.
At 4:43 p.m., Mr. B’s son comes out of the room and informs the nurse that the “monitor is alarming.” When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 saturation is 79%. The patient is not breathing and no palpable pulse can be detected.
A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called, and upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care.
Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.
Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (“conscious sedation”) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was “meeting requirements.” Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.
Questions
A. Explain the general purpose of conducting a root cause analysis (RCA).
1. Explain each of the six steps used to conduct an RCA, as defined by IHI.
2. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.
 
B. Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome.
1. Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.
 
C. Explain the general purpose of the failure mode and effects analysis (FMEA) process.
1. Describe the steps of the FMEA process as defined by IHI.
2. Complete the attached FMEA table by appropriately applying the scales of severity, occurrence, and detection to the process improvement plan proposed in part B.
Note: You are not expected to carry out the full FMEA.
D. Explain how you would test the interventions from the process improvement plan from part B to improve care.
E. Explain how a professional nurse can competently demonstrate leadership in each of the following areas:promoting quality careimproving patient outcomesinfluencing quality improvement activities
1. Discuss how the involvement of the professional nurse in the RCA and FMEA processes demonstrates leadership qualities.
F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and presentation of your submission.
Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.Explain the general purpose of the failure mode and effects analysis (FMEA) process.

Explain why patients with type of diabetes might enter a state of diabetic ketoacidosis?Are ketosis and ketoacidosis the same?

Ketoacidosis vs Ketosis

watch videosExplain why patients with type of diabetes might enter a state of diabetic ketoacidosis?Are ketosis and ketoacidosis the same?
Have you ever tried the keto diet yourself? And what do you think about it?
Explain why patients with type of diabetes might enter a state of diabetic ketoacidosis?Are ketosis and ketoacidosis the same?