Topic #1: (Relating to “The Quadroons”). In addition to its literary significance, the short fictional story “The Quadroons” is important because of its historically persuasive message/theme. Lydia Maria Child wrote this story to be included in an anti-slavery publication called The Liberty Bell, first published in 1842. This was nineteen years before the Civil War began in 1861, but the Abolitionist Movement (to abolish slavery) was gaining strength and momentum. Child’s purpose was to show the emotional, spiritual, and physical devastation caused by slavery, particularly to readers in the Northern states. Many people in the North (where slavery had been abolished for the most part by 1800) knew of slavery only from a distance, literally and figuratively. Child provides a fictional but also realistic example of life in a state where slavery was legal, in this case, Georgia. By the end of this story, all of the key characters are dead, similar to what we would expect to see in a Shakespearean tragedy. In this case, the tragedy is slavery itself. How effective do you think “The Quadroons” is in illustrating the author’s and other Abolitionists’ ethical/moral/legal views about slavery? A common question at the time was “how could Xarifa become a slave when neither she nor her mother, Rosalie, had ever been slaves?” The story answers this question in a way that was surprising and appalling to readers who were unfamiliar with these circumstances of slavery. Discuss your thoughts on these issues and any others that are relevant to the story.
Topic #2: (Relating to “The Quadroons”). As stated in the above topic, this story is undoubtedly a tragedy for all the main characters, but particularly for Rosalie and Xarifa. Lydia Maria Child’s fictional but also realistic story has elements of Shakespearean and Ancient Greek tragedy as well. For example, all the main characters are dead before the story ends. Some of these characters, particularly Edward have “fatal flaws” that contribute to their own deaths and the overall tragedy of the story. In Edward’s case, he allows his political ambitions to take precedence over his love for Rosalie, even though he regrets this decision almost immediately. In fact, he becomes so miserable in his loveless marriage to Charlotte that he becomes an alcoholic and dies when he falls off his horse, which he was riding while drunk. In addition, the central tragedy of this story is that all the characters are living under the rules and laws of an evil system: slavery. No matter how well intentioned many of these individual characters are, they are doomed by the system under which they must live. Even though Edward does everything he can to protect his daughter, Xarifa, and Charlotte continues this support and protection after Edward dies, nothing can prevent what ultimately happens to Xarifa, even her beloved George, who also tries to rescue her and ends up being shot and killed. The slave who acts as a “double agent” and betrays Xarifa is also a victim of the evil system. How does this interpretation align with the author’s purpose in revealing the hopelessness of living with the evil of slavery? Discuss your thoughts on these issues and any other aspects of the story that you find interesting.
Topic #3: (Relating to Lincoln’s “House Divided” Speech). Delivered at the Illinois State Capitol in 1858 after Lincoln had accepted the Illinois Republican Party’s nomination for U.S. Senator, this is one of his most famous speeches leading up to the Civil War. Although Lincoln lost this 1858 Senate election, many historians believe that this speech had a significant role in his winning the Presidential election in 1860. His position on slavery is clear, and he does not hesitate to explain his reasons with strong, supporting evidence. He is also very clear about his Democratic opponent’s position on slavery (Stephen Douglas). Lincoln draws upon a variety of moral, ethical, and religious beliefs in this speech, including the Biblical quotation from the New Testament about “a house divided.” Discuss the specific evidence that Lincoln uses to make this speech as powerful and persuasive as it is. Also discuss any other aspects of the speech that you choose.
Category: Literature homework help
In this initial assignment, you will choose a subject area for the research you will pursue in this course. You may choose one of three distinct subject areas:
Significant Historical Events
Scientific Innovations
Art and Literature
In an approximately 100-150 word paragraph explain your choice and indicate what specific areas of research within the subject area appeal to you. Add whatever personal or professional background information needed to explain your interest.
Do organizations know how to evaluate their suppliers? Do they use the right data? Is there a consistent approach by different departments within an organization? The case study on pp. 248-249 shows that evaluating suppliers is itself a risk. Table 13.1 shows characteristics of an effective supply measurement system. Choose up to three of these characteristics that you would prioritize as the most important and provide reasons why. Use of real life examples is helpful, if you can obtain them.
The total cost of a project may not always be simple to measure or evaluate as we have direct and indirect costs, as well as hidden costs and opportunity costs. Please explain the value of the total landed cost model, including your comments on Figure 13.1 on p. 256
Your assignment due at the end of week 6 focuses on supply chain mapping. This exercise enables the organization to understand the strengths and weaknesses of its supply chain. Our text discusses a heat map, which is available to you (see the appendix in the textbook). Flexibility in the supply chain provides a critical foundation to manage resiliency in the event of disruption.Choose a minimum of four of the twelve examples of flexibility and summarize their content, role and expected outcomes for an organization. Feel free to research companies and provide examples of how companies apply some of the examples that you’ve offered. The journal should be a minimum of 500 words, but not more than 1000 words.
Your assignment due at the end of week 6 focuses on supply chain mapping. This exercise enables the organization to understand the strengths and weaknesses of its supply chain. Our text discusses a heat map, which is available to you (see the appendix in the textbook). Flexibility in the supply chain provides a critical foundation to manage resiliency in the event of disruption.Choose a minimum of four of the twelve examples of flexibility and summarize their content, role and expected outcomes for an organization. Feel free to research companies and provide examples of how companies apply some of the examples that you’ve offered. The journal should be a minimum of 500 words, but not more than 1000 words
Several companies are discussed in Ch. 11 on their use of data to better secure their operations. Pick one of these companies and provide a brief summary of the company’s actions and their expected outcomes.
Background of Mr. Bale
Mr. Bale is an 85 years old American who lives with his son, daughter-in-law, two grandchildren, and his wife. He has been recently diagnosed with COPD making him oxygen dependent. He also has Congestive heart failure and hearing loss. Mr. Bale has smoked two packs per day for the last 50 years as noted by book review writing help. He has a limited understanding of English and depends on translation to comprehend details. Apart from receiving western health services, he also uses alternative remedies from Mexican culture.
Mr. Bale’s Three Comorbid Conditions and Risk Factors
Health problems identifiable are Chronic Obstructive Pulmonary Disorder (COPD), Congestive Heart Failure (CHF), and hearing loss. The primary risk factor with Mr. Bale is smoking two packs for fifty years and continuing smoking even after signing an agreement to stop the behaviors once he became dependent on oxygen. The other risk factor is that he lives with his wife independently. Also, he uses alternative remedies instead of the ones directed by the doctors. Lastly, there is the risk factor of limited knowledge of the English language.
COPD threatens Mr. Bale because it puts him at risk of other conditions that can lead to disability. COPD can lead to osteoporosis and increase fall risk factors (TS et al., 2020). This increases the risk of hip fractures, leading to disability among senior citizens like Mr. Bale. COPD is also very expensive to manage since oxygen is expensive, and this puts his family at the risk of using their finances to cater to his health. On the other hand, the CHF issue will impact his health by triggering a lack of appetite and nausea (TS et al., 2020). This can impact his nutritional intake, which can lead to other conditions. Also, it increases risk conditions such as high blood pressure, which can be risky to his health. The condition also impacts one’s emotions (TS et al., 2020). This can impact his physical abilities and socialization capacity.
On the other hand, hearing loss can impact the patient’s life. According to TS et al. (2020), hearing can lead to stress when one cannot understand what is being said. This means that he will become dependent on other family members for assistance.
The behavior of smoking is the leading cause of COPD. Failure to quit smoking will put Mr. Bale at the risk of triggering COPD flare-ups. When patients with COPD smoke, their lungs get irritated and inflamed, causing the lung tissues to thicken (TS et al., 2020). This causes the breathing to become complicated, resulting in shortness of breath and more lung infections. Living independently with his wife causes a risk of isolation from one of his closest persons. This puts him at the risk of depression. Limited knowledge of the English language can put him at the risk of inefficient diagnosis, especially if there is no one to trans late.
Application of 6 Components of The Chronic Care Model to Mr. Bale’s Case
Health System support. This component relates to the organizational support that the healthcare system should give (Silva et al., 2018; Assignmenthelpsite.com). In Mr’s Bales case, the organization’s support should be given to ensure that he has the technical support. For instance, availability of oxygen and timely refill. The second component is clinical information systems. This component organizes data from patients and populations to enhance care delivery (Silva et al., 2018). Using this component, the nurses should facilitate individualized care planning for Mr. Bale. Also, he should be given timely reminders about when to refill his oxygen and medications. Using this component, information between care providers and the patients should be shared to enhance care delivery.
The third component is Delivery System Design. This system ensures that care is delivered effectively with self-management support (Silva et al., 2018). To achieve this, roles are defined between the care teams. For Mr. Bale’s case, the care team should ensure regular follow-ups and give him the care that fits his cultural background. The fourth component is decision support. This ensures that clinical care nurses promote for the patient to follow scientific evidence and patient preferences (Sendall et al., 2017). In Mr. Bale’s case, the nurses have fully supported her decision to use alternative medications. This means they honored the patient’s decisions. They should ensure that they educate the patient about the effectiveness of the primary therapy compared to alternative therapies.
The fifth component is self-management support. This component ensures that patients are empowered to manage their conditions at home (Sendall et al., 2017). In Mr. Bale’s case, this component has been achieved through the provision of oxygen administered without the nurses’ help. The model would further achieve self-management support by ensuring that nurses set goals with the patients and families and follow up to see how the patient is adhering to the goals (Sendall et al., 2017). With this component, nurses should advocate for policies that will enhance care delivery among patients with comorbid conditions such as Mr. Bale. For example, they should follow up and ensure that the patient quit smoking. The last component is community resources which should be mobilized to meet the patient’s needs (Sendall et al., 2017).
Approach to Mr. Bale’s Situation
As a home health nurse, I suggest evidence-based interventions for COPD, CHF, and hearing loss. For COPD, I would use combination therapy with long-acting bronchodilators (Vitacca & Paneroni, 2018). This will ensure that the symptoms and frequency of exacerbations are reduced. For Congestive Heart Failure, I would administer supplemental oxygen as needed and diuretics (Vitacca & Paneroni, 2018). In addition, I would use ACE inhibitors or ARB drugs for CHF. These drugs strengthen the heart muscles and prevent blood clotting (Vitacca & Paneroni, 2018). For hearing loss, I would suggest assistive devices such as a hearing aid (Holman et al., 20121). This device undoubtedly amplifies the sound to help the patients make sense of sounds.
For this case, I would employ verbal communication. Excellent verbal communications are essential since they maintain clarity, accuracy, and honesty (Arnold & Boggs, 2019). However, I would use this method when communicating with the patient’s relatives since Mr. Bale has hearing loss. When talking to Mr. Bale, I would use non-verbal communication. This includes facial expressions, eye contact, and smiling (Arnold & Boggs, 2019). I would use this technique on Mr. Bale since he has hearing loss to create a good rapport.
Ethical Dilemma
One ethical dilemma in the case is the choice between using modern medications provided by the hospital and cultural medication from Mexico. The ethical principle that originates from this dilemma is autonomy. Patients with autonomy can make informed choices (Rainer et al., 2018). This implies that nurses must ensure clients have all the information needed to make an informed choice concerning their medical treatment. The nurses have no control over the patient’s decision.
Two possible solutions for this ethical issue are respecting patients’ autonomy and educating the patient about the importance of using modern medicines over traditional ones. For this case, I would choose the latter. Modern medicine is evidence-based (Rainer et al., 2018). These medications have been tried in various cases and tested to be effective (Rainer et al., 2018). This means they have been proved to treat or manage connections they are intended to treat. Upon educating the patient, I would expect him to stop using cultural medications, and if he refuses, I will respect his autonomy as a home health nurse.
References
Arnold, E. C., & Boggs, K. U. (2019). Interpersonal relationships e-book: professional communication skills for nurses. Elsevier Health Sciences.
Holman, J. A., Drummond, A., & Naylor, G. (2021). The effect of hearing loss and hearing device fitting on fatigue in adults: A systematic review. Ear and hearing, 42(1), 1.
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19-20), 3446-3461.
Sendall, M., McCosker, L., Crossley, K., & Bonner, A. (2017). A structured review of chronic care model components supporting transition between healthcare service delivery types for older people with multiple chronic diseases. Health Information Management Journal, 46(2), 58-68. https://assignmenthelpsite.com/assignment-help/
Silva, L. B., Soares, S. M., Silva, P. A. B., Santos, J. F. G., Miranda, L. C. V., & Santos, R. M. (2018). Assessment of the quality of primary care for the elderly according to the Chronic Care Model. Revista Latino-Americana de Enfermagem, 26.
TS, W., Karl, J. L., Bhattarai, G. R., Nickels, L. D., & Yeh, C. S. (2020). Geriatric Medicine and Gerontology.
Vitacca, M., & Paneroni, M. (2018). Rehabilitation of patients with coexisting COPD and heart failure. COPD: Journal of Chronic Obstructive Pulmonary Disease, 15(3), 231-237.
see attachments- Here is the article for week 6 – the class is COMM 240 Intercultural Communication
We learned of multiple perspectives on the meaning and application of strategic risk. An example of a strategic risk event occurred on March 17, 2000, when a ten-minute fire at a Royal Philips Electronics semiconductor plant in Albuquerque, New Mexico, “touched off a corporate crisis that shifted the balance of power between two of Europe’s biggest electronics companies…” (Wall Street Journal, January 29, 2001). This occurred because, besides directly destroying several thousand chips for mobile phones, the fire contaminated the clean room environment in the semiconductor plant, effectively shutting it down for weeks. At the time, both Nokia and Ericsson were sourcing microchips from the Philips plant. However, while Nokia was able to quickly shift production to other Philips plants and some Japanese and American suppliers, Ericsson was trapped by its sole source dependence on the Philips plant (Strategic Risk from Supply Chain Disruptions, Hopp, et al.) Using perspectives from Ch. 4, how do you think these two companies viewed strategic risk, before the fire?
Near the end of our text, in Ch. 14, there will be content on how we can learn from risk management leaders. These are well thought of profitable companies. Please look at one of these companies and provide a description of it that includes information about their business. Additional information can be found online about based on current events. We are not yet looking at risk management but only trying to gain some general information about them. The journal should be a minimum of 500 words, but not more than 1000 words.
Boston Scientific Coorporation .is who I’m using