Terro. Case Study 4

PLEASE REMEMBER TO COVER ALL THE POINTS IN THIS CASE STUDY BUT NOT AS SEPARATE POINTS BUT AS A ONE CASE STUDY. – PLEASE DO A CHECKLIST TO MAKE SURE YOU COVER (ALL THE POINTS EVEN THE SMALL ONES). – (PLEASE DON’T FORGET TO USE THE READING AT THE END TO BE USED OR SOME OF THEM WITH THE OTHER REFERENCES IN A TOTAL OF 6 REFERENCES) (IMPORTANT) – AS YOU KNOW, YOU WILL BE USING 6 REFERENCES TO DO THIS CASE BUT PLEASE BE GUIDED BY THE READINGS COMES UP WITH THE CASE AND USE SOME OF THIS IN THIS CASE AND THE OTHERS SHOULD DIFFERENT FROM THEM. – (IMPORTANT): AS YOU MIGHT KNOW, I AM A MUSLIM, SO PLEASE DO NOT WRITER ANYTHING COMES IN CONFLICT WITH THIS TO SAVE THE CREDIBILITY IN FRON OF MY PROFESSOR AND FRIENDS AS A MUSLIM TO APPEAR CLEARLY THAT I WAS THE ONE WHO DID THE CASE! – FINALLY, PLEASE READ AND APPLY (ALL) THE PREVIOUS POINTS AND DO CHECKLIST FOR THEM TO AVOID MISSING ANY ONE OF THEM

Case Studies

1. How many hours per week Is the recommended duration of combined cardiovascular and resistance training
for diabetics?
2. How many days per week should a diabetic perform cardiovascular training?
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3. How many times per week should a diabetic perform resistance training?
4. Using the American College of Sports Medicine (ACSM) risk stratification process, what level of risk is Ned?
5. Apply an understanding of Diabetes to exercise by answering the following questions:
5a. What is Diabetes?
5b. Search the web for medications prescribed for diabetes. Copy the URL into the row below and write
down the name of the medication and how this medication works to help manage the disease.
5c. Search the web or other sources for organisations that develop awareness of diabetes. Copy the URL
or provide the reference in the row below.
5d. What is hypoglycaemia? Provide three (3) signs of this condition?
Hypoglycaemia is:
Three signs are:
i.
ii.
iii.
5e. If Ned presents with hypoglycaemia, what advice should the Fitness Instructor give?
6. Ned’s doctor has placed him on a low Glycemic Index (GI) eating plan. Answer the following questions
about this plan.
6a. What is GI and what does the rating mean?
6b. What are the advantages of this eating plan for managing Ned’s condition?
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Completion of Part 1 is essential prior to Part 2 and knowledge of all three case study.

Case Study – Adolescent with Depression

You are required to choose a given case study, identify the key clinical and ethical issues in relation to the problem presented and dCase Study
evelop a plan for psychological intervention based on the available evidence.

Case Study 1 – Adolescent with depressive symptoms
Lisa, aged 16, was referred to the psychologist for individual therapy following a suicide attempt. Lisa lives with her mother and has one sibling, an 18-year-old brother. She has had no prior history of either attempting suicide or reporting suicidal ideation. Lisa’s mother reported she had not observed any warning signs that would have indicated an impending suicide attempt. She was shocked that deeply troubled by Lisa’s attempt. However, her mother did say that five years ago, at the time of her divorce from Lisa’s father, Lisa had become sad and depressed about the divorce. Lisa saw a counsellor at the time to “work through” her sadness, but did not like the counsellor, and after just a few sessions, did not continue treatment.
Lisa’s mother informed the psychologist that her suicide attempt followed an episode in which Lisa had been caught sneaking out of the house one night and was grounded as punishment. A few days later, with no obvious indicators of unusual distress, Lisa took a deliberate overdose of aspirin with the intent of killing herself. Lisa’s mother came home from work and found Lisa curled up in her bed, complaining of being sick and very tired. After persistent questioning by her mother as to the reasons for her obviously distressed physical condition, Lisa disclosed that she had taken an entire bottle of aspirin. Lisa’s mother immediately called 000, and Lisa was rushed to the hospital. She had her stomach pumped and was kept overnight for observation. Thankfully, her medical situation was not life threatening.
Specifically, with your chosen case study, you are to:

1. Write an introduction AND background of Lisa – which givesan overview of the problem chosen, and gives an overview of how your whole essay will proceed (approx. 250 words)

2. Discuss the search criteria (PICO), inclusion, and exclusion criteria. – HOW YOU FOUND THE SELECTED EBP papers
I WILL DO THIS, AS I HAVE FOUND THEM FOR YOU, BUT YOU NEED TO READ THEM TO DO THE REST OF THE CASE STUDY.

3. Discuss the key clinical issues – 500 words

Read these papers and summarise:

APS suggests CBT, IPT and Family therapy are the most effective therapeutic treatments for Adolescents with Depression. Further
NREPP provided two such therapies as above. These fall within Counseling Psychology interventions

Mindmatters theory and rationale regarding educating schools to intervene with mental health. This falls with in Health Psychology Interventions.

Cochrane reviews suggest a pharmacological approach to intervening with depression in adolescents. This falls within the Clinical Psychology interventions

Summarise and lead into how some of these may represent ethical issues for intervening with depression for adolescents and then specifically Lisa

4) Discuss the key ethical issues to be considered 250 words

For adolescents in the community with depressive symptoms who have attempted suicide

For Lisa and her specific circumstances
5) Critically summarise the EBP papers located, at all levels of intervention (1000 words)

Critically analyse all of the papers provided above in this order and provide STRENGTHS AND WEAKNESSES:

• Counselling:
NREPP interventions
For these two, please also refer to the Quality of Evidence sections which provides a very good summary

• Health:
Mindmatters Rationale

• Clinical:
2 Cochrane papers provided above
6) Develop an appropriate plan of intervention for the chosen case based on the found available evidence (250 words)
7) Succinctly summarise your arguments in a concluding paragraph (approx. 250 words).

Psy407: Assessment Criteria for Case Study (40%)
Component High
Distinction
85-100% Distinction
75-84% Credit
65-74% Pass
50-64% Fail
Below 50%
Introduction (10%)
Provides an overview definition of the presenting issues in the chosen case study from within the context of relevant research and therapeutic approaches A succinct and clear introduction and summary of the focus of the essay is given, including the relevant theories and ideas to be discussed, with no errors.
A clear introduction and summary of the focus of the essay given, including the relevant theories and ideas to be discussed, with some problems with clarity and writing. An introduction and summary of the focus of the essay given, including the relevant theories and ideas to be discussed, but with many problems with clarity and writing. An introduction is offered, but with some errors in clarity of what the paper will be written on, and many problems with writing. No summary of overview and focus of essay offered.
Introduces and succinctly clarifies the situation faced by the client Evidence of ability to interpret and understand the issues presented in the case studies and summarise them succinctly and accurately
Evidence of ability to understand and analyse the issues presented in the case studies, and summarise them, but with some problems with clarity. Evidence of understanding the issues presented in the case studies, and summarise them, but with many problems with clarity. Reproduced the case studies details only, and many problems with clarity. No evidence of ability to understand or succinctly define the case studies
Main Body (20%)
Ability to source appropriate EBP literature supporting the best practice for the case presented Excellent PICO keyword search skills, and the identification of excellent EBP literature to support best-practice for case study Evidence of ability to use PICO keyword search skills, and the identification of useful EBP literature to support best-practice for case study, but with some problems with clarity Evidence of understanding of the use of the PICO keyword search skills, and the identification of EBP literature to support best-practice for case study, but with many problems with clarity Evidence of the use of the PICO keyword search skills, but with many problems or ability to find suitable synonyms to broaden search. No evidence of ability to use PICO keyword search tool effectively, to locate EBP literature to support treatment planning.
Ability to identify and consider other considerations when developing a treatment plan, including clinical and ethical considerations Excellent ability to consider other factors including context, client, and clinical expertise when developing treatment plan for case. Evidence of ability to consider other factors including context, client, and clinical expertise when developing treatment plan, but with some problems. Evidence of understanding of the need to consider other factors including context, client, and clinical expertise when developing a treatment plan, but with many problems. Evidence of emerging understanding of the four factors of best practice, but with problems applying them to develop a workable treatment plan. No evidence of ability to consider context, client, or clinical expertise as well as research when developing treatment plan.
Ability to develop an appropriate treatment plan based on the evidence. Excellent treatment plan suggested based on the four factors of best practice Evidence of ability to develop an appropriate treatment plan based on available evidence. Evidence of understanding of how to develop an appropriate treatment plan based on available evidence, but with some problems. Evidence of emerging understanding of the ability to develop a treatment plan based on available evidence, but with many problems. No treatment plan suggested, or treatment plan is not based on the four factors of best practice.
Comprehensive reference to relevant literature sources are provided Comprehensive reference to relevant literature sources are made, at all times, with no errors. Reference to mostly relevant literature sources are made, but with some errors. Reference to mostly relevant literature sources are made, but with many errors. Reference to some relevant literature sources are made, but not comprehensive. No evidence of sourcing and citing appropriate literature sources are found.
Conclusion (5%)
A succinct and precise summary of the relevant issues faced by the clients and the contributing factors and their relevance to key theoretical ideas have been made. A succinct and precise summary to the essay, including the relevant issues, contributing factors, and the key theories are given with no errors.

A succinct summary of the essay, including the relevant issues, contributing factors, and the key theories are given with some errors. A succinct summary of the essay, including the relevant issues, contributing factors, and key theories are given with many errors. A summary of the essay, including the relevant issues, contributing factors, and theories are given but with many errors. No summary of essay offered.
Overall Quality of Paper (5%)
Quality of writing style Evidence of excellent essay structure, flow of argument, academic expression, grammar, punctuation, and spelling with no errors. Evidence of good essay structure, flow of argument, academic expression, grammar, punctuation, and spelling with some errors. Evidence of satisfactory essay structure, flow of argument, academic expression, grammar, punctuation, and spelling with many errors. Evidence of some essay structure, flow of argument, academic expression, grammar, punctuation, and spelling with many errors. No evidence of correct essay structure, flow of argument, academic expression, grammar, punctuation, and spelling
Use of APA formatting & referencing Accurate use of APA 6th edition. Formatting used throughout essay and referencing, with no errors. Good use of APA 6th edition. Formatting used throughout essay and referencing, with some errors. Satisfactory use of APA 6th edition. Formatting used throughout essay and referencing, with many errors. Evidence of use of APA 6th edition. Formatting used throughout essay and referencing, with many errors. No evidence of use of APA formatting

Case Study

the case, and then write some thoughts about the topic based on the material from the slides about Leadership.
In structuring your Case note, disregard the questions at the end of the Case, and answer the following: 1) What course themes do you see present in the case? and 2) What recommendations might you have to manage the situation even better?
You should also: 1) Identify as many course themes, terms, or theories as make sense to you (with an emphasis on the slides), 2) The references should be explained and described in context, so that I knowYou should also: 1) Identify as many course themes, terms, or theories as make sense to you (with an emphasis on the slides), 2) The references should be explained and described in context, so that I know you understand them. Don’t just list terms, rather define them and apply them to the details of the Case if applicable, 3) Terms should be in BOLD or UNDERLINED to make sure they pop off the page.

Case Study

this assignment you will write a case study based on the topic of creating a climate of practice. For example, how the organization should conduct optimal levels of productivity and/or care for their people. You may base your case study on a personal experience, positive or negative, but do not use real names or places. Once you review the examples in the Northouse book, Please note they are ONLY examples.

2You will read that a case study begins with a brief description of the topic to be addressed.

3-You will then present the facts related to the case. For example, like a storyline, narrative, scenario.

4-Finally, provide at least five open-ended discussion questions that “provoke thought.” No credit given for questions that elicit a yes or no response, or a listing of points.

Please note that you are to write a doctoral level paper, not an outline, based on your specific case study. Although the text illustrates some case studies as examples, as well as other resources you might find on a case study, you must write this assignment as a doctoral paper, not as a brief.

5-Please refer to the proper documents for format and syntax. There are no scholarly resources required.

6-You are to prepare a doctoral level paper, at least 4 full pages of content,

Required text book.

Case Study

 

Read the incident scenario, and write a response that is at least three pages in length. Your response must include answers to the questions being asked. All sources used, including the textbook, must be referenced. Paraphrased and/or quoted materials must have accompanying in-text and reference citations in APA format.
Scenario:
You are the Refinery Emergency Response Coordinator for an incident at the SJV Refinery which has been in operation since 1966. The refinery processes 120,000 bbls of crude oil per day, which has a sulfur content of 2.5 percent. The refinery converts crude oil to naptha, light oil, and heavy oils using the Atmospheric/Vacuum Distillation Unit with key equipment such as the following:
 naptha, kerosene, gasoline, and diesel hydrotreaters;
 isomerization unit;
 naptha reformer;
 fluid catalytic cracker;
 coker;
 hydrocracker;
 polymerization unit (petrochemical section of the refinery polymerizing olefin gases to produce polyethylene);
 sulfur recovery Claus plant (catalytic reactors); and
 distillate/gasoline blending tanks.
The refinery was initiating work on a major plant turnaround at the time of the incident to complete required maintenance repairs, mechanical integrity inspections, and modifications to existing equipment. Twenty contractor companies (approximately 150 employees) have been contracted to perform this work under the direction of refinery staff. All of the contractor workers completed the refinery orientation training.
Work for the contractor crews is assigned/scheduled each morning. On the day of the incident, the day-shift (6 am to 6 pm) crew had been tasked with isolating the acid gas feed stream for the Claus unit. Due to other work priorities, the crew did not isolate the line as planned. A shift turnover for the night contractor crew did not happen due to mandatory safety training that delayed their arrival at the worksite. Upon their arrival at the work site, the night crew held a job safety analysis (JSA) review of the scheduled task (line breaking of the acid gas feed line to replace a segment) to be performed and the hazards present. No pressure gauges or monitoring was present to indicate that the acid gas feed line was operational. The crew initiated the line breaking activity (open the line to the atmosphere) at approximately 7:45 pm under self-contained breathing apparatus (SCBA), which almost immediately resulted in the uncontrolled release of acid gas. A nearby ignition source from a welding operation ignited the flammable gas. The following actions were initially taken:
 The evacuation alarm was sounded and the refinery emergency response team (ERT) was activated.
 The plant manager and the local fire department were notified of the incident.
 The incident command was established at the refinery office near the main refinery access gate to the south (this is the furthest distance within the refinery boundary from the incident location).
 The refinery ERT incident commander implemented actions required under the approved refinery emergency response plan.
 The ERT was not able to immediately isolate the acid gas feed pipeline.
 The fire department arrived on location and assumed the incident command of the event.
Additional Relevant Information:
 The refinery encompasses an area measuring 2000 feet by 1400 feet. The Claus unit is located in the most northern part of the refinery, approximately 1350 feet from the main refinery access gate to the south. The polymerization unit is operating directly adjacent to the Claus unit.
 The nearest residential community is located approximately 1000 feet to the northeast of the refinery.
 A plastic recycling plant is located along the south fence boundary of the refinery.
 A major interstate highway runs directly parallel to the plant, approximately 1/4 of a mile directly north of the refinery.
 The ambient temperature on the day of the incident was 85° F and the wind was blowing at 7 mph from the southwest to the northeast.
 Work crews were scheduled to work 12-hour shifts, 24-hours a day, to complete the refinery turnaround.
 Due to the age of the refinery, SJV has implemented a robust mechanical integrity program.
 The refinery has a trained ERT that can respond to incidents.
 Fixed water monitors are present throughout the refinery to extinguish refinery equipment fires. The refinery ERT does not fight fires past the incipient stage.
 The refinery has received notices of violation (NOVs) from the local air district in the past several years due to gas and liquid leaks from piping components, such as valves, compressor/pump seals, and for excess sodium dioxide (SO2) emissions related with their sulfur plant.
 Due to historical discharges of organic compounds, groundwater monitoring wells are present down gradient of the facility. Groundwater underlying the plant has historically been encountered at 30 feet below ground surface.
 Hydrogen sulfide is present in the acid gas feed to the Claus plant. The H2S concentration of the acid gas feed is approximately 70 percent by volume. H2S and sulfur dioxide (SO2) have the following physical properties:
1. Discuss the hazards posed by the interaction of the hazardous materials present at the refinery and adjacent facilities, including the resulting by-products of the incident fire and acid gas release.
2. As the lead refinery representative on the unified incident command (UIC), what actions should be taken by the UIC to respond to this incident (please consider all receptors).
3. If the polymerization unit is engulfed in the fire, how will this affect your response?
4. All emergency responders participated in the post-incident critique. What corrective actions should be implemented by the refinery to prevent the reoccurrence of this incident?
APA Guidelines
use APA style for papers and projects. Therefore, the APA rules for formatting, quoting, paraphrasing, citing, and listing of sources are to be followed.

Answer case study

1. By which route would the β-blocker, the prostaglandin analogue and muscarinic agonist be administered in the treatment of TH’s glaucoma? Why? (2 marks)
2. Explain how each of the drug groups used to treat her glaucoma relieve the high intraocular pressure. You must cover the pharmacological mechanisms. (6 marks)

3. How can systemic absorption of these drugs be minimised? (2 marks)
4. What are the common local adverse reactions associated with topical administration of eye drops? (2 marks)
5. Given PB’s pre-existing health problems, are there likely to be any precautions associated with her prescribed glaucoma therapy? (2 marks)

6. Are there any potential drug interactions between her existing therapy and her glaucoma therapy worth noting? (2 marks)

7. What changes to eye structures are associated with prostaglandin analogue therapy? Are these changes harmful to the eye? (2 marks)
8. What advice would you give her regarding the adverse effects she might expect when using the β-blocker and the muscarinic agonist? (2 marks)

Case study

You should discusses the provision and coordination of person-centred care linked to a real person you have cared for whilst on clinical placement (the essay can be written in a first person as this case study is my personal clinical placement’s experience).
• Utilise the Clinical Reasoning to plan and evaluate person-centred care • Considering the person’s situation, collect, process and present related health information • Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care in Recovery room (PACU) (for example: atrial fibrillation, hypertension and postoperative pain) as a current serious problems (for example: patient had a hip replacement) • Establish goals for priority of nursing care as related to the nursing problem/issues identified • Discuss the nursing care of the person; link it to assessment data and history • Evaluate your nursing care strategies to justify the nursing care provided • Reflect on the person’s outcomes
Marking criteria
Structure: The content in the case study matches the outline presented in the introductory paragraph. Paragraphs are organised, and there is a logical progression of ideas so that content flows from one paragraph to the next. The case study ends with a rational conclusion.
Content: Comprehensively defines and discusses the provision of ethical, legal, evidence based, and holistic person centred care, including the establishment of realistic and relevant goals. Includes relevant discussion on the collection, processing and presentation of client/patient information clearly identifies and prioritises nursing issues/ problems.
Critical thinking, reasoning and evaluation of evidence: There is evidence of both depth and breadth of reading. A considered argument related to nursing care and issues/problems is presented, and is supported by adequate and appropriate evidence.
Referencing: Credible and relevant (Australian sources 2010-2015) references are used. Accurate use of APA referencing style in all instances. A range of in-text citations has been used.

Woodward Case Study

Topic: Woodward Case Study
This assignment takes you out of the classroom and into the role of observer and participant in the policy process. The student will identify three key episodes in Woodward’s case study in which events went dramatically wrong or right. In other words, you may select an episode in which you agree with the players’ actions, or you may select an episode in which you disagree with how the players behaved. But the episodes must be really important ones. Briefly describe each episode. Before you go onto the next episode, explain what you think should have been done to keep the process on track or get it back on track? This assignment must total at least 375 words (125 words per episode) for a total of at least 1 ½ pages. The student is expected to clearly state each episode, identify its location in the book, use evidence accurately and sound reasoning to support why each episode is so important and why the student’s position is reasonable under the circumstances. The goal is a well-organized presentation that brings together evidence and reasoning to make convincing arguments.

Control Systems & Real-Time Analytics

Topic: Control Systems & Real-Time Analytics
Consider the system block diagram below. This block diagram represents three steps of
for sale and distribution. Just considering the three steps below and the control systems
1. Provide a diagram showing the basic steps required to automate this process
a. Raw materials are added manually into separate compartments in the first
b. No manual intervention is allowed until the packaged material comes out
2. For each of the 3 steps identify a maximum of 2 CPPs and 2CQAs
3. If this was for a pharmaceutical product and assuming this is a critical GAMP