[ANSWERED 2023] Explain the role of the community health nurse in partnership with
Explain the role of the community health nurse in partnership with Source: USAHS TOPIC 1 DQ 1: Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion. TOPIC 1 DQ 2: Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. Expert Answer and Explanation: TOPIC 1 DQ 1 Population Health Promotion Population health promotion is the process of developing promotional messages and actions that can be used in educating people against certain health issues or prevention. Community health nurses and other community stakeholders, such as church leaders, local political leaders, and NGOs’ have vital roles in ensuring that population health promotion programs successes. Community health nurses are responsible for conducting studies and finding heath issues that ail the community population (Salmond & Echevarria, 2017). Also, they are responsible for developing promotion models that can be used to conducting health promotions. The community nurses in collaboration with other community leaders can search for funds to support population health promotion programs. The other community stakeholders, such as local politicians are responsible for developing and enacting policies that can ensure the success of health promotions (Watterson, 2017). Stakeholders such as church leaders can provide financial support for running of the health promotion. Appraising community resources, such as religious and nonprofit resources is so vital. Appraising community resources can help the community population understand the value of their resources, and this can motivate them to take care of them. Also, resource appraisal can help community leaders understand how they can distribute funds to run various health promotion programs within the community. Corley et al. (2016) argue that appraisal or evaluation can also help in curbing corruption and misuse of community funds and resources. Community resources should be regularly apprised because they are so vital in health promotion programs. For instance, the resources, such as community halls can be used in holding meetings and seminars during health education programs. References Corley, A. G., Thornton, C. P., & Glass, N. E. (2016). The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: a systematic review. PLoS neglected tropical diseases, 10(9), e0004914. Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12. Watterson, A. (Ed.). (2017). Public health in practice. Macmillan International Higher Education. Alternative Answer and Explanation Role of Community Health Nurse The community is one of the main focuses for community health nurses. The healthcare sector conducts various community interventions which have to factor in a number of issues, the role of a community health nurse is crucial for any event involving the community as they have the necessary medical skills (Bigi & Bocci, 2017). The partnership between the community and the nurse can help create the necessary various roles to be performed by the nurse. For instance, the nurse is skilled and can easily identify issues affecting society and come up with means to offer remedies to these issues. The role focuses on the identification of needs, problems, and priorities for families, individuals, and other members of the community in general (Bigi & Bocci, 2017). Based on the information, the nurse can then formulate intervention plans for a municipal health and implement the plan within the community. The role of the nurse is also associated with appraising various community resources to evaluate whether they meet the requirements for operation. Every community action and resource need to be appraised for various reasons (Egbujie et al., 2018). For instance, appraisal for a nonprofit organization can assess whether the institution has the capacity to deliver on the purpose and whether they are aware of the issues that are being addressed. Appraisal of religious or spiritual groups focuses on the need for the provision of accurate information to the masses and correlates the data with the goals of the community action (NSU, 2017). These resources are important as they provide additional support, personnel, and other key services that are required for a holistic care delivery process. The healthcare sector comprises a number of key players and combining the resources for the betterment of the community. References Bigi, C., & Bocci, G. (2017). The key role of clinical and community health nurses in pharmacovigilance. European journal of clinical pharmacology, 73(11), 1379-1387. Egbujie, B. A., Delobelle, P. A., Levitt, N., Puoane, T., Sanders, D., & van Wyk, B. (2018). Role of community health workers in type 2 diabetes mellitus self-management: A scoping review. PloS one, 13(6), e0198424. NSU. (2017). The Nurse’s Role in Community Health. Northeastern State University Online. https://nursingonline.nsuok.edu/articles/rnbsn/nurses-role-in-community-health.aspx TOPIC 1 DQ 2: Expert Answer and Explanation Nursing Process Community or population assessment and intervention can be influenced by many factors including phenomenological and geographical factors. Geographical and phenomenological factors can influence the financial or budgetary aspect of an intervention or assessment. For instance, a disease that has affected a large geographical area, a lot of funds will be used in implementing or assessing the impacts of the illness (Tan, 207). Different phenomena are solved in different ways. Thus, phenomenological factors can affect an intervention or assessment by determining the methods that will be used in the assessment or implementation of the intervention. Rabelo‐Silva et al. (2017) mention that the two factors can also affect the time of intervention implementation and assessment. For instance, the time that will be spent in implementing an intervention to prevent a disease in a whole country differs from the implementation of the same intervention in a single state. The nursing process involves many actions. The actions include researching, planning, diagnosis, assessment, and evaluation of health-related issues. The nursing process has largely been used in identifying health issues. For instance, nurse researchers have been used to research and identify certain health issues in society. Also, nurses have been used in assessing, evaluating, and reporting health issues to the public and government. Diagnosis is
[ANSWERED 2023] V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago
V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago Examining Endocrine, Metabolic, and Hematologic Disorders V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago. He is for a follow up and complaining of increased tingling to the lower extremities. PMH: obesity, dyslipidemia, HTN. He quit smoking smoking two years ago. Denies any alcohol use. SH: lives with alone in a subsidized housing. He is a veteran and relies on food stamps and welfare. Works occasionally. MEDS: he lost his medications and hasn’t taken any in about a week. His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5’9, BP: 160/100 RBG: 415. To prepare: Review Part 17 and 21 of the Buttaro et al. text in this week’s Resources. Review the patient case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Think about potential treatment options for the patient. Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis Expert Answer and Explanation Examining Endocrine, Metabolic, and Hematologic Disorders Primary Diagnosis Type 2 Diabetes The primary diagnosis for this condition is poorly controlled type 2 diabetes. Type 2 diabetes is a medical condition that happens when a patient’s body produces less insulin as needed or resists produced insulin (American Diabetes Association, 2018). According to the association, some of the clinical symptoms of type two diabetes include blurred vision, unintended weight loss, increased thirst, tingling of the lower body and hands, and increased sores that hardly heal. A person suffering from poorly controlled diabetes is a patient who does not follow clinical instructions to control diabetes. It is highly likely that the patient suffers poorly controlled diabetes because he experiences increased tingling to the lower extremities and is obese. Differential Diagnosis Multiple Sclerosis Multiple sclerosis is a medical condition that can damage a patient’s central nervous system. People with multiple sclerosis can experience the following symptoms. They include fatigue, blurred vision, tingling of one or multiple body parts, sexual problems, lack of coordination, Lhermitte sign, and prolonged double vision (Briggs et al., 2018). This disease has been included in the differential diagnosis because the patient complains of tingling of the lower parts of the body. Latent Autoimmune Diabetes Latent autoimmune diabetes is an illness that happens when a patient’s body does not produce enough insulin as required. Low insulin level, increased thirst, tingling of hands and feet, fatigue, and vision problems are signs of the disease. The patient complains of tingling of the body parts, and that is why the disease has been included in the diagnosis. Brachial Plexus Injury Brachial plexus injury is a medical condition that affects one’s nerves. It occurs when a patient’s nerves are overstretched, ripped, and compressed. Glenn et al. (2016) note that the tingling of the body parts is among the symptoms of the disease, and that is why it has been included in the diagnosis. Role of Patient History and Physical Examination Patient history and physical examination were so significant during diagnosis. For instance, through the patient’s medical history, the nurse found that the patient was under Januvia 50mg QD, Lipitor 40mg QD, and Lisinopril 20mg prescriptions. This information would be vital when prescribing drugs for the patient to prevent drug interaction. The current patient’s medical history provided a symptom that was used to provide the primary diagnosis. The patient’s history provided risk factors that were used to decide the actual diagnosis for the patient. It was found that the patient was obese through medical history, type 2 diabetes, HTN, and dyslipidemia. Physical examination also provided great insight into the patient’s condition. Through physical examination, the nurse found that the patient was obese and had HBP. The information would help the nurse provide better medications that can improve the patient’s health. Potential Treatment Options Both medical and non-medical approaches should treat this patient. The current medications should be adjusted accordingly because the patient does not show signs of improvement. Khan et al. (2017) note that Lipitor 40mg per day should be increased to 60mg per day, and the patient monitored for two weeks. Januvia can also be increased to 100 mg once per day. Lisinopril 20mg can be increased to 30 mg per day. The patient should be checked after two weeks to monitor his progress. The patient should also be advised to observe a balanced diet and exercise often to improve the effects of the medication. References American Diabetes Association. (2018). 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2018. Diabetes care, 41(Supplement 1), S13-S27. https://doi.org/10.2337/dc18-S002 Briggs, M. S., Rethman, K. K., & Lopez, M. T. (2018). Clinical decision making and differential diagnosis in a cyclist with upper quarter pain, numbness, and weakness: a case report. International journal of sports physical therapy, 13(2), 255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063071/ Glenn, B., Drum, M., Reader, A., Fowler, S., Nusstein, J., & Beck, M. (2016). Does liposomal bupivacaine (exparel) significantly reduce postoperative pain/numbness in symptomatic teeth with a diagnosis of necrosis? A prospective, randomized, double-blind trial. Journal of endodontics, 42(9), 1301-1306. https://doi.org/10.1016/j.joen.2016.05.018 Khan, S. I., Saha, S. K., Poddar, S. K., Bachar, R., & Shoyaib, A. A. (2017). Bioequivalence studies and pharmacokinetic properties of atorvastatin 40mg tablet in healthy bengali subjects. MOJ Bioequiv Availab, 4(2), 00064. https://d1wqtxts1xzle7.cloudfront.net Place your order now for a similar assignment and get fast, cheap and best quality work written by
[ANSWERED 2023] There is often the requirement to evaluate descriptive statistics for data within the organization
There is often the requirement to evaluate descriptive statistics for data within the There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education. Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas. Provide the following descriptive statistics: Measures of Central Tendency: Mean, Median, and Mode Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range). Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups. APA style is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation Alternative Expert Answer and Explanation Measures of Central Tendency: Mean, Median, and Mode This paper will elaborate on the descriptive statistical analysis for lung and bronchus cancer for the different racial groups as contained in the National Cancer Institute (2018). The data compiled was from the years 2000 to 2015. Mean Mean, also known as average, is the total summation of the values given divided by the number of items in a data set (Grove & Gray, 2018). The following is a mean for the different racial groups: Mean = Σ/n. where Σ is the total sum of the rate per 100,000, and n is the number of years (16 years). American Indian / Alaska Native (includes Hispanic) Mean = 692.4/16 = 43.275 Asian / Pacific Islander (includes Hispanic) Mean = 616.2/16 = 38.5125 Black (includes Hispanic) Mean = 1121.1/16 = 70.06875 Hispanic (any race) Mean = 503.9/16= 31.49375 White (includes Hispanic) Mean = 1003.6/16=62.725 Median Median is defined as the middle number in a data set (Grove & Gray, 2018). Given that the data set used by this paper contains an even number of items, one can get the median by calculating the average of the two middle numbers. The median for the following racial groups is calculated as follows American Indian / Alaska Native (includes Hispanic) Median = (43.1+44.6)/2 = 43.85 Asian / Pacific Islander (includes Hispanic) Median = (38.8+39)/2 = 38.9 Black (includes Hispanic) Median = (71.2+71.6)/2 =71.4 Hispanic (any race) Median = (32+32.2)/2 =32.1 White (includes Hispanic) Median = (63.9+65.2)/2 = 64.55 Mode Mode is defined as the most repeated number in a data set. In case a modal value can’t be established, one is supposed to group the data values, and using the following formula; the modal value for the group can be identified. Mode = L + (fm − fm-1) / ((fm − fm-1) + (fm − fm+1)) × W where: L is the lower-class boundary of the modal group fmis the frequency of the modal group fm-1is the frequency of the group before the modal group fm+1is the frequency of the group after the modal group w is the group width American Indian / Alaska Native (includes Hispanic) Data Groups 31-40 frequency = 6, 41-50 frequency = 9, 51-60 frequency = 1 The modal estimation for this population group is Mode = 41+ (9 − 6) / ((9 − 6) + (9 − 1)) × 10 = 41 +3/11 x 10 = 43.73 Ans = 43.73 Asian / Pacific Islander (includes Hispanic) The mode for this population group is 36,6 Black (includes Hispanic) Data Groups 55-60 frequency = 2, 61-65 frequency =3, 66-70 frequency =2, 71-75 frequency =6, 76–80 frequency = 3 The modal estimation for this population group is Mode = 71+ (6 − 2) / ((6 − 2) + (6 − 3)) × 5 = 71 +4/7 x 10 = 76.71 Ans = 76.71 Hispanic (any race) The mode for this population group is 34.1 White (includes Hispanic) The mode for this population group is 65.8 Measures of Variation: Variance Variance is the measurement of how numbers are distributed in a given data set. The following is a formula used to calculate variance; Σ (Xi – μ) 2 / n. Where: Σ is summation of the items n is the total number of items in the data set. Xi is the individual figures in the data set, μ is the mean for that data set, The following is the variance for the given racial groups American Indian / Alaska Native (includes Hispanic) μ = 43.275 Xi (μ – Xi)2 32 127.125625 36.6 44.555625 38.7 20.930625 39.6 13.505625 39.9 11.390625 40.1 10.080625 42.4 0.765625 43.1 0.030625 44.6 1.755625 45 2.975625 45.7 5.880625 46.4 9.765625 47.9 21.390625 48.7 29.430625 50 45.225625 51.7 70.980625 Σ =415.79 Variance = 415.79/16 = 25.986875 Asian / Pacific Islander (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 34 20.36265625 34.4 16.91265625 36.6 3.65765625 36.6 3.65765625 36.7 3.28515625 37 2.28765625 38.5 0.00015625 38.8 0.08265625 39 0.23765625 39.8 1.65765625 40.2 2.84765625 40.4 3.56265625 40.5 3.95015625 40.9 5.70015625 41 6.18765625 41.8 10.80765625 Σ =85.1975 Variance = 85.1975/16 = 5.32484375 Black (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 57.4 160.4972266 60.5 91.56097656 61.3 76.89097656 64.1 35.62597656 64.3 33.27847656 67.8 5.147226562 70.8 0.534726563 71.2 1.279726563 71.6 2.344726563 73.4 11.09722656 73.7 13.18597656 75.1 25.31347656 75.8 32.84722656 77.3 52.29097656 77.8 59.77222656 79 79.76722656 Σ = 681.4344 Variance = 681.4344/16 = 42.58965 Hispanic (any race) μ = 31.49375 Xi (μ – Xi)2 26 30.18128906 26.8 22.03128906 28.2 10.84878906 28.8 7.256289062 29.4 4.383789063 30.3 1.425039062 31.8 0.093789063 32 0.256289063 32.2 0.498789063 32.7 1.455039063 33.8 5.318789062 34.1 6.792539063 34.1 6.792539063 34.2 7.323789063 34.5 9.037539063 35 12.29378906 Σ =125.989375 Variance = 125.989375/16 = 7.8743359375 White (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 53.2 90.725625 55.4
[ANSWERED] Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook
Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your Unit II Case Study Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook. After you have read the case study, write an analysis of the case study. Write an introduction to give context to your paper by explaining what the paper will cover. Then, divide the body of your paper using the seven headers below. Address the points within that section, as indicated under the header. Employment Law Identify what employment law Susan Fowler’s sexual harassment claim would be characterized as. Be sure to develop your answer to include your rationale. Type of Harassment Identify the type(s) of harassment to which Ms. Fowler was exposed. Be sure to develop your answer to include your rationale. Uber’s Actions Identify actions Uber has taken to limit their liability relative to sexual harassment charges. Be sure to develop your answer to include your rationale. EEOC and Affirmative Action After reviewing Uber’s diversity report, does it appear Uber is in violation of any EEOC and affirmative action laws? Be sure to develop your answer to include your rationale. Diversity Matters Explain why diversity matters in general and more specifically to Uber. Be sure to develop your answer to include your rationale. Benefits/Challenges of a Diverse Workforce Identify and explain the benefits and challenges Uber derives from a more diverse workforce. Be sure to develop your answer to include your rationale. Legal Provisions of Uber Case Write a summary that identifies legal provisions or considerations covered within this case study as it relates to a human resource management (HRM) perspective. Conclude with an analysis with your thoughts on how ethics and HRM professional standards are framed by legal provisions within a specific organization or industry (e.g., business, health care). Your case study must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Uber Diversity and Sexual Harassment Uber is one of the biggest technology beneficiaries as its business is primarily based on the connection between customers and transport providers using smartphones. Also, Uber has improved its standards largely because customers and service providers can rate each other based on the satisfaction they get from the services (Swiss, 2018). Like many other companies, however, Uber is also faced by diversity issues, where there have been complaints about oppression of women in the company (Lussier & Hendon, 2017). This essay discusses about the case study ‘Case 3-1, You Can’t Get There From Here: Uber Slow on Diversity,’ where one of the female employees, Susan Fowler, reports sexual harassment by the manager. Employment Law The employment law under which the complaint of Ms. Fowler would be categorized is the Federal Employment Law, Title VII in the 1964 Civil Rights Act. According to this law, unwelcome sexual advances in the workplace can limit the productivities of employees in firms (Weiss, 2019). Susan’s manager had tried to perform some sexual advances that prompted her to report the manager to the HR manager. Unfortunately, the HR would not report this manager as they claimed he was ‘high performing.’ This is what angered Ms. Fowler and she later learned that there were other female employees who shared the same fate. Type of Harassment The harassment that Ms. Fowler faced was sexual harassment. This is because this kind of harassment under the Federal Employment Law covers for any mistakes done to lead to uncomfortable situations and can be highlighted in the case. For example, the fact that Ms. Fowler’s manager was using the company platform to have sexual conversations is intimidating enough. This is because Ms. Fowler should be expecting the manager to use the company platform to do regular operations such as checking on employees, but instead, what she gets is intimidating sexual messages. Uber’s Actions One of the actions that Uber took to limit the associated liability was the release of the first diversity report one month following the allegations. In the report, Uber mentioned that it acknowledges the fact that women, as well as non-white employees, are underrepresented in the company. They also mentioned that they have invested numerous resources to ensure that they reduce this underrepresentation, as well as ensure that women and other minority groups are comfortable in the technology environments. EEOC and Affirmative Action The report is in violation of the Equal Employment Opportunity Commission (EEOC) as it gives too much emphasis on women during the recruiting process. It is clear from the report that the company tries to correct a wrong it had embraced earlier (sexual harassment of women) using another wrong (unfairness in the hiring process) (Swiss, 2018). The affirmative action I would propose for Uber is to take precaution when approaching gender issues, lest they would find themselves in even greater trouble. Also, they should show that the manager who was accused of sexual harassment of female employees is given the right punishment. Diversity Matters The main reason why diversity matters in Uber is that the company’s success is based on public satisfaction. If there are more diversity issues, it is likely that the company will be less popular, and that the customers will be quick to switch to other alternatives. Benefits/Challenges of a Diverse Workforce Diversity in the workforce is beneficial as it increases productivity of a company. Companies with a diverse workforce culture are likely to find more success opportunities than those who oppose it (Lussier & Hendon, 2017). Challenges of a diverse workforce include power struggle among the different groups, which can lead to less growth rates. Legal Provisions of Uber Case The legal provisions of diversity in the case emphasize on the fact that companies have the legal obligation to ensure diversity so as to embrace societal growth. Also, the company’s employees who harass other individuals in
[SOLVED 2023] Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN
Week 2 Discussion Question 1 Applying Leadership Skills Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN The ongoing changes in the health-care landscape are influenced most by globalization, economic and technological factors, and the aging of the population. The complexity of the healthcare environment requires us to examine the leadership needs for the APN roles that are applicable for today and the future (Joel, 2018). In chapter 21 (Leadership for APNs: If Not Now, Then When?) the author outlines serval leadership theories or styles including: Situational or Contingency Leadership; Servant Leadership; Transformational or Transactional Leardershp; Relational Leadership; Clinical Leadership and Congruent Leadership. Select one of the above leadership theories or style. Using your own words define the theory. Considering the various APN roles (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader) describe how you might use the leadership theory in your future APN role. From your experience as a professional nurse, give one example of the selected leadership theory or style as seen in action or provide an exemplary example. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include: Telemedicine Artificial Intelligence Robotics IoT and wearables Blockchain Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader). Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/ Week 2: Discussion Question 1 – Expert Answer and Explanation Leadership Skills in Nursing Transformational Leadership Style The healthcare sector is changing and the new measures require a transformed leadership that will help set the required pace and milestones. One of the most critical leadership styles that can be used with the changes in APRN roles is transformational leadership (Poghosyan & Bernhardt, 2018). The style is important as it focuses on inspiration, encouragement, and motivation of the staff and employees to create change, innovate and grow the unit for future success. New roles require that a nurse be prepared for new challenges and obstacles that have to be solved innovatively for the betterment of the patient. Leadership Style and APRN Roles As a leader, the healthcare sector is focused on improving the health of the patient, conducting research, and administration purposes, transformational leadership can help an APRN come up with means to improve the various roles. For instance, an APRN can come up with ways to ensure that there is better service delivery and innovative interactions between the nurse and the patient (Popejoy et al., 2017). These innovations should be transformative and in line with current trends such as the incorporation of evidence in care delivery. The APRN can also focus on understanding current technology in order to improve the administration of care through transformations. The transformations can focus on the reduced discharge time, proper handling of patient data among others. Leadership Style in Action One practical example of transformational leadership is conducting nurse education on how to make use of new technologies such as evidence-based care. The strategy is transformational in the sense that it will enable the nurses to meet their desired goals and improve on the growth of the organization (Poghosyan & Bernhardt, 2018). Nurses should also embrace the changes and accept to learn and improve on their skills. References Poghosyan, L., & Bernhardt, J. (2018). Transformational leadership to promote nurse practitioner practice in primary care. Journal of nursing management, 26(8), 1066-1073. Popejoy, L., Vogelsmeier, A., Galambos, C., Flesner, M., Alexander, G., Lueckenotte, A., … & Rantz, M. (2017). The APRN role in changing nursing home quality: the Missouri quality improvement initiative. Journal of nursing care quality, 32(3), 196-201. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles – Expert Answer and Explanation The Impact of Healthcare Trends on the APN Roles Telemedicine Telemedicine is one of the most recent healthcare trends that is being embraced globally. The healthcare sector is transforming to be able to reach a wider audience and meet the increasing demands in the healthcare field (Vitacca et al., 2018). Telemedicine per se includes the use of technology and other accessories to facilitate remote care delivery and monitoring of patient progress. The incorporation of telemedicine in the healthcare sector has brought about both positive and negative issues affecting the delivery of care. The major positive impact that telemedicine has had is the increase in accessibility to medical care to people from a wider geographical region. A person from Florida can be able to bet services from a specialist in Texas without having to incur travel expenses (Vitacca et al., 2018). The technology has also reduced the cost of medication which would have been used in admission of the patients and paying for the stay at the facility. Telemedicine also incorporates ease of interdisciplinary collaboration as there is the ease of access to patient data and different professionals can collaborate to help improve the patient conditions. There are also negative aspects associated with telemedicine and might affect the outcome of the patient. One of these issues is that telemedicine does not give the doctor ability to physically assess the patient and get to have a professional perspective on the issues around the physical concerns. The diagnosis is purely dependent on the patient observation which might be biased or flawed (Armaignac et al., 2018). On the other hand, the use of technology to collect data cannot be guaranteed as they might fail or be triggered at different timings. The other issue can be the insecurity of patient data which is susceptible to hackers or unauthorized breaches. References Armaignac, D. L., Saxena, A., Rubens, M., Valle, C. A., Williams, L. M. S., Veledar, E., & Gidel, L. T. (2018). Impact of Telemedicine On Mortality, Length Of Stay,
[SOLVED 2023] For this Focused Note Assignment you will select a
For this Focused Note Assignment you will select a patient with common gynecologic Assignment 2: Episodic Visit: Common Gynecologic Health Conditions Focused Note For this Focused Note Assignment you will select a patient with common gynecologic health conditions from your clinical experience and construct a patient history, assess and diagnose the patient’s health condition(s), and justify the best treatment option(s) for the patient. To prepare: Use the Focused SOAP Note Template found in this week’s Learning Resources to complete this Assignment. Select a patient with common gynecologic health conditions whom you examined during the last three weeks in your practicum experience. With this patient in mind, address the following in your Focused Note Template: Assignment: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently in a similar patient evaluation? Episodic/Focused SOAP Note Template Patient Information: Initials, Age, Sex, Race S. CC (chief complaint): This is a brief statement identifying why the patient is here in the patient’s own words, for instance, “headache,” not “bad headache for 3 days.” HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start every HPI with age, race, and gender (e.g., 34-year-old African American male). You must include the seven attributes of each principal symptom in paragraph form, not a list. If the CC was “headache,” the LOCATES for the HPI might look like the following example: Location: head Onset: 3 days ago Character: pounding, pressure around the eyes and temples Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia Timing: after being on the computer all day at work Exacerbating/relieving factors: light bothers eyes, Naproxen makes it tolerable but not completely better Severity: 7/10 pain scale Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include over-the-counter (OTC) or homeopathic products. Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction versus intolerance. PMHx: Include immunization status (note date of last tetanus for all adults), past major illnesses, and surgeries. Depending on the CC, more info is sometimes needed. Soc & Substance Hx: Include occupation and major hobbies, family status, tobacco and alcohol use (previous and current use), and any other pertinent data. Always add some health promotion questions here, such as whether they use seat belts all the time or whether they have working smoke detectors in the house, the condition of the living environment, text/cell phone use while driving, and support systems available. Fam Hx: Illnesses with possible genetic predisposition, contagious illnesses, or chronic illnesses. The reason for death of any deceased first-degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent. Surgical Hx: Prior surgical procedures. Mental Hx: Diagnosis and treatment. Current concerns: (Anxiety and/or depression). History of self-harm practices and/or suicidal or homicidal ideation. Violence Hx: Concern or issues about safety (personal, home, community, sexual—current and historical). Reproductive Hx: Menstrual history (date of last menstrual period [LMP]), pregnant (yes or no), nursing/lactating (yes or no), contraceptive use (method used), types of intercourse (oral, anal, vaginal, other), and any sexual concerns. ROS: This covers all body systems that may help you include or rule out a differential diagnosis. You should list each system as follows: General: Head: EENT: and so forth. You should list these in bullet format and document the systems in order from head to toe. Example of Complete ROS: GENERAL: No weight loss, fever, chills, weakness, or fatigue. HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema. RESPIRATORY: No shortness of breath, cough, or sputum. GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood. GENITOURINARY: Burning on urination. Pregnancy. LMP: MM/DD/YYYY. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control. MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness. HEMATOLOGIC: No anemia, bleeding, or bruising. LYMPHATICS: No enlarged nodes. No history of splenectomy. PSYCHIATRIC: No history of depression or anxiety. ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia. REPRODUCTIVE: Not pregnant and no recent pregnancy. No reports of vaginal or penile discharge. Not sexually active. ALLERGIES: No history of asthma, hives, eczema, or rhinitis. O. Physical exam: From head to toe, include what you see, hear, and feel when conducting your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and history. Do not use “WNL” or “normal.” You must describe what you see. Always document in head-to-toe format (i.e., General: Head: EENT:). Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines). A. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines. P Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions, education, disposition of the patient, and any planned follow-up
[ANSWERED] In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy?
In 200-250 words, respond to the following: Should the physician allow Mike to continue In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following competencies: BS Nursing (RN to BSN) 5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?” Expert Answer and Explanation Benchmark – Patient’s Spiritual Needs: Case Analysis Recent advances in technology have had significant transformation of the healthcare industry. In one way, however, the service and cure-oriented model has been abandoned by the introduction of various technological practices in spirituality (Mesquita et al., 2017). In the past, healthcare was often linked with spirituality, where healthcare givers served to incorporate the physical, social, spiritual, and emotional being to healthcare. Nurse leaders and nurse educators today are encouraged to actively re-introduce this compassionate consideration of the patients’ spiritual needs (Timmins & Caldeira, 2017). This essay involves the analysis of a case of James, an 8 y.o. pt. whose parents are confused at the level or extent to which they should encourage spirituality in his health. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James? The physician should not allow further mistakes to happen in the case of James, and should not let Mike, his father to continue making faulty decisions for him. The initial presentation of the case of James to the facility was clear that the only needed intervention after an infection of acute glomerulonephritis was to perform a kidney dialysis and then with the aid of an antibiotic, he would easily recover. However,
[ANSWERED 2023] Explain the linkage between internal environmental analysis and the value adding service delivery
Explain the linkage between internal environmental analysis and the value adding service Assignment: Exercises: Explain the linkage between internal environmental analysis and the value adding service delivery and support strategies. How are the value adding strategies linked with action plans? How does the marketing of a service differ from the marketing of a physical product (good)? Professional Development: Case Study #15: “So, Doctor, can you fix this?” A case involving a medical spa. Perform an internal analysis of the medical spa to determine key challenges faced by the organization. Based on that information, create a “Strategic Thinking Map” for value-adding support strategies (Exhibit 8-9, p. 336). Evaluate the effectiveness of service delivery strategies by answering the questions posed in Exhibit 8-10 (p. 338) The Professional Development assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Expert Answer and Explanation Value-Adding Support Strategies Exercise Internal environmental analysis is an important aspect in the development of strategies that lead to organizational growth. When considering internal analysis, attributes that are inherent to the organization that either promote or hinder quality service provision are evaluated. Value addition, on the other hand, is usually controlled by components that are internal to the organization. Therefore, an internal environmental analysis will assist the organization to understand the areas that can be enhanced within the organization, to improve the value of services delivered to clients (Ginter et al., 2013). By developing effective value-adding strategies, one can then evaluate how they ought to improve their services; who those strategies are aimed at; or who needs to act; where resources need to be placed to achieve better service delivery, all of which can then be condensed into implementable action plans. There are several differences between marketing a product and marketing a service. Given that products are tangible, in most cases, they are marketed based on their value, whereby, the customer has to evaluate the value and match it with the price offered for the product to make the purchase. However, for services, marketing is done based on relationships, this includes the interaction between the service delivery personnel and the client (Rather, 2019). While most of the products offered to the market are fixed, the services given to a client may vary from person to person and is therefore important to ensure that the level of quality of service provision is maintained at a constant or better still improved. Therefore, based on these aspects, service marketing can be seen to be more complex as compared to marketing a product That can also explain the difference in marketing mix between products and services with services having more elements attached to the mix (Isa et al., 2020). Professional Development Internal organization analysis is an important step in developing strategic plans that can assist the organization to navigate through the various market challenges and gain a competitive edge. This section of the paper will conduct an internal analysis of a medical spa, and provide value-adding strategies that can assist the organization. Internal Analysis Strengths From the case of Dr. Goyzueta’s spa, various attributes can be observed after conducting an internal analysis. Starting with the strengths of the business, it can be seen that Dr. Goyzueta has been a medical practitioner for a long time and his professional history is one of the aspects that made him more appealing as compared to non-medical spa operators. Like most medical spas run by doctors, the “halo effect” which clients had about a doctor’s reputation, made them even more willing to receive most of their cosmetic services in medical spas as compared to non-medical spas (Young & Chen, 2020). However, his medical background was in a different field and not cosmetics, which was also one of the issues that proved to be a weakness to the reputation of his spa.Another strength was that the spa industry had high reimbursement rates, with most of the clients coming to receive the services having the ability to pay upfront. In most cases, the clients had to pay out of pocket or using credit cards, with very few, if any insurance companies covering for procedures done in the spa. The medical spa industry had relatively cheap malpractice insurance, which also made the cost of operations slightly lower in comparison to other medical practices. Still, on strengths, the market base in the spa business has also been rapidly growing from one million in 1997 to over nine million in 2006 for non-surgical cosmetic procedures. This means that the cosmetic industry was still in its thriving stage and with the promise of better profit margins. The advertising efforts made on products offered in medical spas increased the demand for those services. Another aspect that made Dr. Goyzueta’s spa to have an edge is the fact that he was appealing to the Latino community where he comes from. The fact that he is bilingual also made him appealing to the English-speaking clients too. Weaknesses Some of the weaknesses faced by Dr. Goyzueta’s spa include lack of insurance coverage for most of the services offered in the spa. While most of the clients were able to fork out the incurred expenses out of their pockets, there was still a large chunk of the population who wanted but could not afford the facilities offered by the spa. Therefore, having insurance coverage could potentially open up a wide market that was currently locked out from accessing procedures offered in the medical spa (Sandberg, 2017). Another weakness that was apparent to the spa was its location. The fact that it was affected by flooding makes it to be susceptible to such events in case they happen again in the future and may pose a threat, including damage to property if a solution is not found.Starting a medical spa was also very expensive given the cost of high-end technology required to perform some of the
[ANSWERED 2023] Have you ever been involved in union organizing, collective bargaining, or worked in a union shop?
Have you ever been involved in union organizing, collective bargaining, or worked Power in Organizations Have you ever been involved in union organizing, collective bargaining, or worked in a union shop? If so, share your experience. If not, locate a scholarly journal article that describes collective bargaining and describe how it works within an organization. Have you ever worked in a healthcare facility that had Magnet accreditation, or had experience with shared governance? If so, share your experience. If not, locate a scholarly journal article that describes shared governance and explain how it could be implemented in your current facility. Expert Answer and Explanation Power in Organizations Over the years, people have been forming organizations to campaign for their employment rights and discuss other social factors. Through the formation of organizations, equality has been achieved in some sectors, such as the treatment of people with different sexual orientations and cultural, ancestral, and racial backgrounds. If people such as Martin Luther King had tried to negotiate for equal treatment individually, probably, he could not be successful. The phenomenon is also experienced in the workplace, where it is easier for workers to negotiate work conditions as a group than as individuals through collective bargaining. In other situations, companies engage in shared governance as it is necessary to create favorable policies for all participants. Through collective bargaining and shared governance, it is possible to understand organizations’ power in advocating for their members at the workplace. Collective Bargaining And How It Works In An Organization Collective bargaining is a process through which working people can negotiate their employment contracts with their employers to understand the terms of employment, job safety, benefits, leave and pay, among others. Over the years, it is through collective bargaining that employees have achieved better status at their workplace and further ensured that their safety is not compromised. According to Cazes et al. (2019), collective bargaining can occur at different levels which include firm level, sectoral level, and national level. The authors also explain multi-level bargaining, which combines firms and higher-level collective bargaining. Cazes et al. (2019 note that coordinated systems such as those that have organized decentralization have higher employment than full decentralization. It is also notable that in areas where there is collective bargaining, there is lower or greater wage dispersion compared to systems that lack collective bargaining and those that set wages independently. This shows that employees can enjoy the same salaries if they are in the same job group through collective bargaining. Cazes et al. (2019) further note that in areas where there are centralized bargaining systems, there is likely to have lower productivity. This shows that a lack of flexibility at the firm level, which mostly represents a centralized bargaining system, can affect the firm’s productivity. On the other hand, when there are decentralized systems, it is clear that there are no adverse effects on productivity. As far as collective bargaining is concerned, Cazes et al. (2019) explain that where coordination works effectively, it is more likely to be supported by employer associations because it moderates wage growth and ensures a high level of mediation. The authors concluded that engaging in collective bargaining greatly contributes to labor market inclusiveness and can create a macroeconomic effect when it covers a large share of workers and companies. The process of collective bargaining has been essential as it can contribute to either the success or failure of the initiative. It is notable that collective bargaining mostly occurs as a better alternative when comparing options such as strikes and quitting (Julius & DiGiovanni, 2019). The first step in collective bargaining is preparing for bargaining, where the teams are involved in identifying areas they want to improve and determining a strategy to help them move forward with the negotiations (National Education Association). The second stage involves conducting the negotiations and the union and management explain the rationale behind their proposals. This stage usually depends on the law provisions concerning the areas being addressed. In the third stage, the contract can be ratified if the parties have reached a tentative contract agreement. However, this is after the union has a meeting with the employees to discuss the offers made by the company, and then they are asked to vote using a secret ballot where the majority of votes determines if the contract will be ratified or rejected. The fourth stage occurs if the parties fail to reach an agreement, and through state law, they can decide on how to resolve the dispute, either using mediation, arbitration, or a strike (National Education Association). The fifth and last stage is changing or clarifying the contracts, where the parties can discuss any section of the ratified contracts and revise it to ensure that issues of mutual concerns are solved as the employees continue their employment contracts. Shared Governance And How It Can Be Implemented In The Facility When focusing on nursing, shared governance is crucial as it promotes nursing empowerment and encourages shared decision-making, ensuring that all professionals are accountable for their actions and contribution to the hospital’s processes. Shared governance is therefore defined as a process through which the board of governance, faculties, and staff participation are coordinated in the work and decision-making process and administrative leadership. The main aim of shared governance is to balance participation and ensure that all members take equal responsibility in their organizational roles. Through shared governance, it is possible to improve patient outcomes as all clinicians are involved in decision-making about the issues that impact them and the hospital’s services. Moreover, shared governance is crucial as it enables a culture that fosters a transparent review of work practices and further supports personal and professional development by involving evidence-based practices. It is, however, important to understand that implementing shared governance is hard and time-consuming, and therefore more organizations are likely to shun the practice. Nonetheless, the outcomes of shared governance usually outweigh the obstacles experienced, and with a good process in place, it is possible to have an effective, shared governance policy. According to Brennan & Wendt (2021), several principles should be ensured when implementing shared governance. They include accountability, innovation, autonomy, team building, leadership, ownership, and practice equity. Combining these models makes it possible to create a shared governance model that ensures quality patient care and promotes continuous quality improvement in the health facility. When forming shared governance, Kiwanuka (2022) explains using Kotter’s
[ANSWERED 2023] How did Greece influence the culture of Rome? What were the similarities and differences? Why did the Romans accept these ideas?
How did Greece influence the culture of Rome? What were the similarities and differences? Why did the Romans accept these ideas? Expert Answer and Explanation Rome was culturally influenced by their two great neighbors, Romans and Etruscans. Just like the Etruscans, Greeks had a significant influence on the Roman culture. The Greek influenced the Roman through various ways such as through Greek architectural designs, art, and mythology (Marconi, 2015). One of the key similarities between the two cultures was the way they designed their buildings. Greek architecture was among the significant influence of Greek culture on the Romans. The Greek temples, home of their gods, were made using marbles. Temples such as the Parthenon was made up of columns which added to its beauty. The Romans borrowed the Greek designs and started applying them in their public buildings. As time went by, they learnt how to use concrete to come up with larger structures such as the Circus Maximus, famous for horse racing, which could hold up to 200,0000 fans or more. The other similarity which emerged between the two as a result of their interaction was the use of Greek art. By that time, Greek pottery was highly valued throughout Mediterranean world just because of its beauty and usefulness (Marconi, 2015). The Greek potters made large clay pots which were used to store wine, food and water. What amused many were the paintings made on the pots. They depicted great leaders and warriors. The same modeling technique was later adopted by the Roman artists although they had their own designs. Other form of Greek art imitated by the Romans was painting. The third similarity relates to mythology. The Greeks worshipped various gods and goddesses. These governed their daily life. They conducted rituals and sacrifices to acquire the favors from these gods for everything right from curing the sick to celebrating good harvest. The Romans had their gods too. However, the knowledge about the gods shifted the moment they started relating with the Greeks. The gods from the Greek culture which portrayed almost similar features as theirs were automatically blended into their culture. They adopted various gods from the Greek and what they just simply did was changing the names. For instance, Zeus, the greatest Greek god was named as Jupiter. The Greek goddess of love, Aphrodite, was named as Venus. Despite sharing a lot in common as far as the idea of culture is concerned, the two had some differences too. For instance, the Romans were efficient at practical applications whereas their counterparts were good at theoretical pursuits and abstractions. The second difference related to the access of public places by women. Greek women were separated and could not go to public places. On the other hand, their counterparts had rights of movement, rights to own property or even divorce. The reason as to why the Romans accepted these ideas was because their region was situated in the middle of various cities in the Greece (Marconi, 2015). These cities were separated by Peninsula. This increased the chances of contact between the Greeks and the Romans hence leading to significant influence. Discuss the Roman division of social classes. How did Rome attempt to reconcile these differences in law and culture? What problems did these divisions cause? How could Rome have stopped these problems? The ancient Rome was made up two social classes, upper and lower classes. The difference between the two was clear. The first class or division was known as the patricians. The patricians consisted of leading citizens, wealthy landowners, very successful businessmen, and government officials. Patricians occupied the upper class. This group of individuals controlled both administrative and political power and enjoyed wealth (Alfoldy, 2014). They were well represented in Roman assemblies. They dominated for centuries because of their large number in the senate. On the other hand, the Plebians were just ordinary residents, some small businessmen others very prosperous entrepreneurs. The Plebians occupied the lower class of the social structure. Unlike the Patricians, the Plebians did not have administrative or political power. They were only supposed to engage in various activities but not politics (Alfoldy, 2014). Slaves in the ancient Roman social structure didn’t have any legal privileges. They completely depended on their masters. Roman tried to reconcile the differences by dividing the residents into major divisions based on the quantity of property owned. Obviously, the wealthiest individuals (patricians) had bigger chucks of land, and as a result, they occupied the senate. Separation of the people based on the amount of wealth brought a lot of confrontations among the Plebians, slaves, Lords, and Patricians. The groups openly opposed each other and sometimes the confrontations resulted to fights. One of the ways Rome could solve these problems was by allowing senate be occupied by individuals based on their ability to lead and not by the amount of wealth they possess. This means that individuals could come from any social class. This could have helped to bring some sought of inclusivity in the government. The other way could be through encouraging citizens to register. This could have helped to indentify the individuals together with their status. It could also present the simplest way to get public participation or consensus or opinion regarding a particular policy. How did the Hellenists govern the lands that Alexander had conquered? What were the differences and similarities in how each area was governed? How did Hellenic regions cooperate with one another? What were the problems that these areas faced, and how could these problems have been overcome? The reign of Hellenists started after the successful conquest by the Alexander the Great from Macedon to India. This success brought about tremendous changes especially in regard to the spread of the Greek culture in the conquered regions. During the reign of Alexander the Great, all the conquered regions maintained their initial system of governance (Alston, 2014). The only difference was that the regions were working and taking instructions from him. They paid taxes to him