I need help with an spmt assignment that will be due tonight. More instructions will follow

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what is the product or service? Describe it in detail and explain how it fits into the market.

This assignment need to be a presentation.

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Ureteroscope Case Study Describe something you learned or that surprised you while reading the case study.

it doesn’t have to be that 4 to 5 senstcne tho

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You have read about entrepreneurship in a global economy. For written assignment, complete a case study of the organization you work for (use a hypothetical or “other” organization if more applicable) that will address the following prompts:

• Describe the organization’s environment, and evaluate its preparedness to go global, if not already, and it’s strategy for staying global if it is.

• Research other company’s strategy for going global and explain if this will or will not work for your company.

Make a recommendation for a global strategy in the organization, including a justification for your recommendations.

Submit your midterm research paper as a single document. Your paper should meet the following requirements:

• Be approximately four to six pages in length (1200-1800 words), not including the required cover page and reference page.

• Follow APA6 guidelines. Your paper should include an introduction, a body with fully developed content, and a concluson

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Case Study: John Jones

John Jones, age 84, has been in a long-term care facility for four years after the death of his wife who was his primary caregiver. Mr. Jones has a history of hypertension (HTN), type 2 diabetes (controlled by diet) with the long-term or chronic complication of peripheral neuropathy, osteoarthritis (OA), and gastroesophageal reflux disease (GERD). His medications include acetylsalicytic acid (aspirin)81mg every morning, furosemide (Lasix) 20mg BID, acetaminophen (Tylenol) 650mg Q 4 hours PRN pain, and omeprazole (Prilosec) 20mg BID.

Mr. Jones becomes agitated when he is assisted out of bed in the morning and winces with pain. He often complains of his hands, knees, and lower legs hurting. The pain he describes in his hands and knees can be considered pain from arthritis. He takes Tylenol for arthritis pain when offered but states there is little relief. He rates the pain in his hands and knees as a “6” on a scale of “0” being no pain and “10” being the worst pain possible), and it decreases to a “4” after the Tylenol is given. He rates the pain in his lower legs as a “10,” and this pain decreases to a “7” after taking Tylenol. When reviewing his medication records, you notice that he takes the Tylenol twice a day, usually in the morning with breakfast and at bedtime. The nurse caring for Mr. Jones notes that he will take medication when asked whether he is in pain, but otherwise he does not complain of pain. Mr. Jones states, “I can deal with the pain in my hands and knees, but my legs hurt all the time.” As a nurse, you are aware that pain is a significant problem in the older adult population as at least 50% of community-dwelling older adults, and as many as 85% of nursing home residents, suffer from pain and that pain is often undertreated in this population (Horgas, Yoon, & Grall, 2012)

It is clear that the pain Mr. Jones is experiencing is not being managed in a way that will provide him comfort. Pain is often undertreated in the older adult population related to factors found in health care providers as well as patients themselves.

As a nurse, you understand that the Joint Commission requires nursing assessment of pain as a requirement to be in compliance with regulatory guidelines for pain management.

In addition to the pharmacological pain relief measures, Mr. Jones could benefit from non-pharmacological measures to decrease both his arthritis pain as well as the neuropathic pain in his lower extremities.


  • Identify one myth or misconception about pain and the management of pain in the older adult population that may have an effect on the undertreatment of Mr. Jones’ pain and discuss why these myths occur.
  • Discuss the factors that add to the problem of undertreatment of pain in the older adult population.
  • What are some of the major problems for the older adult who suffers from untreated pain?
  • Mr. Jones has been offered morphine as well as other adjuvant medications for the pain in his legs, but he refuses as he states, “I don’t want to get addicted to that stuff.” How would you describe the use of morphine for pain and the potential for addiction?
  • Describe how you would assess Mr. Jones’ pain and a tool that can be used to assess pain in the older adult.
  • Describe the World Health Organization’s (WHO) Three-Step Analgesic Ladder for pain management, considering the pain that Mr. Jones is experiencing. He is having a moderate level of pain, “6,” on a scale of 1-10 related to the arthritis in his hands and knees. He is also experiencing a severe level of pain in his lower extremities related to diabetic neuropathy (he rates his pain as a “10” [on a scale of 1-10]).
  • Discuss several nonpharmacological techniques for pain management.

Suggested Resources

Horgas, A. L., Yoon, S. L., & Grall, M. (2012). Nursing standard of practice protocol: Pain management in

older adults.Hartford institute for Geriatric Nursing. Retrieved from http://consultgerirn.org/ topics/pain/want_to_know_more

Thielke, S., Sale, J., & Reid, C. M. (2012). AGING: Are these 4 pain myths complicating care?The Journal

of Family Practice, 61(11), 666-670. Retrieved from http://www.chronicpainperspectives.com/articles/feature-article/article/aging-are-these-4-pain-myths-complicating-care/0bf757elf76f31745e78b94866999973.html

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Read the discussion answer then give a response

The response should give your own opinion of the discussion answer and add some more information

there is a sample response under the discussion answer

Discussion

Changes in the business world have been implemented for many decades. Businesses encourage changes in the organization to offer more opportunities and improvements to the organization and its employees. Although important, change is not always known to be the have the best reaction for some employees. It is often difficult for employees to understand why changes are taking place.

There are many reasons why an organization would want to make changes. One of the reasons involves constantly changing forms of technology. Using newer forms of technology not only helps the organization succeed, but it also helps to enable employees by the way that they work. Technology should enhance productivity, help with self-motivation, and promote job satisfaction (Cascia, W. F. & Montealegre, R., 2016). Since most businesses now rely on technology, it is understandable why all employees should adapt to these changes. The individuals who are not up to date with the newest forms of technology may suffer or resist these changes. In the video that was recorded at John Hopkins University, Thomas Friedman presents that change is flattening the workplace which is due to the introduction of new forms of technology (John Hopkins University, 2011). What we can understand from this video is that he encourages us to be creative and to take that extra step to stand out among others.

One main barrier that occurs when a change takes place is the resistance that individuals may have. Many individuals do not like to accept change or they feel as it is too difficult and not necessary. If change is not managed well in the organization, it can cause frustration or anger with employees (Palmer, I., Dunford, R. & Buchanan, D. A., 2017). Resistance against change is a natural reaction of individuals because it involves moving from the known to the unknown (Glimskog, G.S. & Hagman, J.K., 2015). These individuals who resist change fear that these changes are not beneficial to them. They have a fear of stepping out of their comfort zone into an environment that is different than what they know. The changes in technology could lead the employees to feel the lack of independence, competence, and understanding that may turn into stress, demotivation, and lack of work behaviors (Cascia, W. F. & Montealegre, R., 2016).

To learn to accept the changes that are occurring in organizations, we have to have an open mind and the ability to motivate others when changes occur. In the Miss Ernestine video, she set out on a goal with her sister to become the oldest bodybuilders, therefore, she made changes to her diets and exercise routines and reached her goal that she set (Prevention Magazine, 2014). We become inspired to make changes in our personal and work lives by setting goals and watching others succeed by making changes in their own lives. We learn from others and how they adapt to the changing environments.

We also miss opportunities when we do no make changes. As in the story “Who Moved My Cheese?”, we notice that Hem was missing out on an opportunity because of his fear of change. Also, we notice that Haw was nervous and anxious about stepping out to look for new cheese and Hem would have kept him back if he was anxious to see what was on the other side of the maze (Johnson, S., n.d.). Not only can other individuals inspire us, but they can also not inspire or motivate us to changes. They can keep us from wanting to step out of our comfort zone into these changes. Once we reach a point, we have to step out of our comfort zones and forget the fear that we have of the unknown. This fear keeps us from accepting changes or moving forward.

References

Cascia, W. F. & Montealegre, R. (2016). How Technology Is Changing Work and Organizations. The Annual Review of Organizational Psychology and Organizational Behavior, p. 356. doi: 10.1146/annurev-orgpsych-041015-062352

Glimskog, G.S. & Hagman, J.K. (2015). Scrutinizing the Barriers to Organizational Change – Analyzing the Soft Barriers to Change from an External Change Agent Perspective. Department of Business Studies Uppsala University, 5-6. http://www.diva-portal.org/smash/get/diva2:824240/…

John Hopkins University. (2011, Sep. 28). Thomas Friedman and Michael Mandelbaum. Youtube.

Johnson, S. (n.d.). Who Moved My Cheese?: An Amazing Way to Deal with Change in Your Work and in Your Life. http://www.contraboli.ro/stuff/docs/whomovedmychee…

Palmer, I., Dunford, R. & Buchanan, D. A. (2017). Managing Organizational Change: A Multiple Perspective Approach (3rd ed). McGraw Hill Education.

Prevention Magazine. (2014, Feb. 14). The Remarkable Story of Ernestine Shepherd. Youtube.



SAMPLE RESPONSE

SAMPLE RESPONSE

SAMPLE RESPONSE

Hello,

The issue of initiating change in organizations requires the involvement of all stakeholders through consultations. In the contemporary world, institutions cannot forego changes due to the emerging needs, including issues associated with technological developments that have occurred in the last few years (Hornstein, 2015). However, the process of initiating change in the firm requires the management to consider strategic planning in order to ensure that all stakeholders reach a common agreement. The other issue involves employee reactions to changes, which requires them to adapt to the new way of doing business (Alvesson & Sveningsson, 2016). Additionally, the need to initiate change plays an essential in improving shareholder value, as well as improving organizational incomes and profitability levels. While internal and external pressures can affect the process of bringing change to the firm, the management should set aside resources to initiate such procedures in order for the organization to remain relevant and competitive (Hornstein, 2015). As such, the collaboration of all stakeholders can help the management to adopt the appropriate strategies that can bring the necessary changes.

References

Alvesson, M., & Sveningsson, S. (2016). Changing organizational culture: Cultural change work in progress. New York, NY: Routledge.

Hornstein, H. A. (2015). The integration of project management and organizational change management is now a necessity. International Journal of Project Management, 33(2), 291-298.

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The exam will become available in the Quizzes section on April 19th at 12:30pm and will disappear on April 20th at 12:30pm. This does not mean you can see the questions without starting the exam.

You can only see the exam questions once you start the test. From the moment you press “Start” the clock starts ticking and you have two hours to complete the exam. Please make sure you have a good, stable internet connection when you sit down to start the test. Neither you, nor I for that matter, will be able to pause it, rewind, or restart the clock.

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Project Charter

Outcomes addressed in this activity:

Unit Outcomes:

  • Develop the project charter.

Course Outcome:

IT401-2: Create project artifacts to effectively establish project management triple constraints.

Purpose

For this Assignment, you will create a project charter using the Garage Apartment project case.

Assignment Instructions

Review the Garage Apartment Project case. The Garage Apartment Project covers building a two-car garage with an apartment/office on the second floor on your existing lot in accordance with applicable building codes. Use the Project Charter Template to define the purpose, justification, assumptions, constraints, milestone schedule and budget, risks, and deliverables for the project. Use the information in the case to frame the project.

Assignment Requirements

The assignment should be completed in MS Word using the Project Charter Template. Complete all the sections to represent the charter for the Garage Apartment Project.

  1. Write a comprehensive and understandable statement of the overall project justification and description
  2. State specific management objectives for the project in scope, time, cost, quality, and risk
  3. Develop a description of known assumptions.
  4. Develop a description of known constraints.
  5. Specify an expected completion time and high-level budget
  6. Specify the primary external stakeholder roles/responsibilities.

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Describe in 500 words the disaster recovery plan and who is responsible at your place of employment. Consider the critical business functions and your recovery point objectives and recovery time objectives.

Use at least three sources. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list. Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0.

Write in essay format not in bulleted, numbered or other list format.

Do not use attachments as a submission.

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’. You should make your initial post by Thursday evening so your classmates have an opportunity to respond before Sunday.at midnight when all three posts are due.

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like). Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about. Please do not submit attachments unless requested.

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