Evidenced based practice proposal section E: Implementation Plan?

lIn 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.

Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.

Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.

Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.

Explain the process for delivering the (intervention) solution and indicate if any training will be needed.

Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.

Describe the strategies to deal with the management of any barriers, facilitators, and challenges.

Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.

Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Mr. Jones is a 70-year-old man. He has a decreased appetite and often only consumes one meal per day. He does not like to eat fruits and vegetables and considers meat and potatoes his favorite meal. During your assessment of Mr. Jones you complete a food frequency questionnaire. The results from the questionnaire indicate the following:

Mr. Jones consumes 2-3 servings of fruit per month.

Mr. Jones consumes 3-4 servings of vegetables per month.

Mr. Jones consumes up to 24 ounces of water per day.

Mr. Jones consumes animal protein at each meal.

This assignment is intended to introduce basic nutritional principles such as energy requirements, sources, and uses. You will also differentiate between macronutrient and micronutrient concepts and describe their physiological functioning, while applying human nutritional theories and relevant research to assess a patient’s nutritional needs.

Assignment Details:

Perform the following tasks:

Given the results from the food frequency questionnaire, list at least one vitamin that Mr. Jones could be lacking in his current diet. Describe one disease Mr. Jones is more susceptible to developing to if he remains deficient in this vitamin?

Given the results from the food frequency questionnaire, list at least one mineral that Mr. Jones could be lacking in his current diet. Describe one disease Mr. Jones is more susceptible to developing to if he remains deficient in this mineral.

List three nutritional recommendations for improving Mr. Jones’ diet.

Is Mr. Jones consuming enough water? If not, what are the possible complications? Discuss.

Would you suggest vitamin and mineral supplementation for Mr. Jones? Use the textbook to support your response

Grading:

Read the case study, then answer the questions that follow.

Lenny recently moved into a 96-bed aged care facility in the town he has lived in for the past 20 years. The home is a non-profit organization run by one of the main church groups. Lenny has Parkinson’s disease and is happy that he is still able to move around the home in his wheelchair, mostly unassisted. After Lenny settles in, the lifestyle coordinator meets him to develop a lifestyle activities plan. The coordinator finds out that Lenny is a practicing Buddhist and has enjoyed a long relationship with the local Buddhist community.

The coordinator gives Lenny an outline of the facility’s programs that are run throughout the month. She invites Lenny to join in as she can organize a worker to help Lenny to get to the various rooms where the activities and programs are held. A few of the program's centers on the chaplain’s programs. Lenny explains that he is not interested in attending those activities and asks what activities are in place for Buddhists. The coordinator says Lenny is only one of three residents who follows a Buddhist faith and given the organization was initiated by the church; they do not offer anything other than the programs that are currently run. Lenny tells the coordinator that he would like his information to remain private.

The next day, Lenny is having lunch in the dining room when a personal care assistant asks him to come to the church program, explaining it is not a religious service but more a discussion group. The worker then states that she knows Lenny is not religious, but she thinks he may enjoy the activity. Lenny feels embarrassed as others in the dining room overhear the conversation. He leaves the table and decides to have his evening meal in his room that night.

Question

1. Does the service have a legal responsibility to develop an individualized plan? If yes, why? If no – why not? (Approx. 30 words).

2. What organizational policies and procedures have been breached and how? (Approx. 30 words).

3. Has there been a breach of duty of care towards Lenny? (Approx. 30 words).

4. What human rights does Lenny’s have regarding this situation? (Approx. 60 words).

You are the manager of a business that is losing money due to COVID and the CEO is pushing you hard to fix things.

You have many employees who are also effected by COVID.

Your financial statements show that you must cut employment costs by 50 percent. If you do not do this you will go out of business. You made the decision for the entire company: except for two employees.  Miss. Jackson and Jerome Edwards.

Tip 1: Remember from Chapter 1 the goal of the Financial Manager is to maximize the wealthy of your company.  

Tip 2: What about the human component? This is never covered in the text. This is on YOU as a manager.

Facts below.

_________________________________________________________________

Miss. Jackson is one of your best employees, she has worked for you for 10 years, and recently she has lost two family members to COVID. Miss. Jackson is not doing well. If she is furloughed she risks losing her house and everything she has worked for over the years. Her performance has decreased due to these major life issues. She suffers from depression and sleep issues due to the stress. She has not communicated these circumstances to you because she is overwhelmed and she is afraid of losing her job. However you know, based upon her performance, she is going through rough times.  Miss. Jackson earns $60,000 a year.

Jerome Edwards is a new and upcoming employee that obtained his MBA from UNCFU with a 3.9 GPA and he is Miss. Jackson's subordinate. Jerome meets deadlines and shows no emotion to the difficulties of COVID. He hits every deadline and has the potential to succeed under any circumstances. When you send him a task he states "I'm on it" and he delivers.  Jerome earns $40,000 a year.

__________________________________________________

I am the CEO of the corporation and I care about people. However I need to keep this business alive.

My request for this answer is to write a 250 word memo to me, the CEO, discussing your decision regarding Miss. Jackson and Jerome.

_________________________________________________

I am a CEO who requires facts and an analysis based on how we can support our employees while keeping the business sustainable.

Would you like an occupation that would give you a six-figure salary that may not involve an expensive college or university education that will leave you with a huge loan? Well, perhaps you should have considered a skills trade job. Most studies indicate that Canada is facing a shortage of skill trade workers with time, as the aging trade workers start to retire. The Government of Ontario has identified 12 trades with this shortage and is developing a campaign to induce young Canadians to take up more trade jobs. Why then are Canadians reluctant to enter the trades? Studies revealed that most high school students plan to go to Universities or Community College rather than a trade school. Human Resources Development Canada in one of its surveys identify only 6% of its high school students were planning to attend trade schools and 44% would not consider a job in skills trade. Statistics Canada found that 58% of high school students considered skills trades to be usually high paying jobs providing excellent benefits but a larger percentage within this thought that it was not an exciting job and require manual labour. Among immigrant communities many trade jobs were a low status job than the usual white collar intellectual based jobs.

a. What are the perceived risks associated with a young Canadian selecting a trade as a career? What marketing strategies could the Government of Ontario use to mitigate the perceptions of these

2. Assume that the 12 trades identified by the Government of Ontario are as follows.
   Carpenters, Crane Operator, Dispatcher, Drafts Person, Drywallers, Electricians, Journeyman, Mechanic, Millwright, Painters, Pipefitter, Plumbers & Welders

   Explain how a young Canadian can use compensatory vs. non compensatory decision rules to

   select one of the above trades to pursue their career.

3. Using a suitable learning theory of your choice, explain how the government of Ontario could

positively influence students selecting trades schools against other vocations?

d. The Government of Ontario has decided to target high school children and their families in promoting trades as a career choice. Using consumer behaviour principles learnt so far in class, design a suitable marketing strategy to reach the primary target market and intended target audience.

Billingham Packaging is considering expanding its production capacity by purchasing a new​ machine, the​ XC-750. The cost of the​ XC-750 is $2.83 million.​ Unfortunately, installing this machine will take several months and will partially disrupt production. The firm has just completed a $47,000 feasibility study to analyze the decision to buy the​ XC-750, resulting in the following​ estimates:

• ​Marketing: Once the​ XC-750 is operational next​ year, the extra capacity is expected to generate $10.10 million per year in additional​ sales, which will continue for the​ 10-year life of the machine.

• ​Operations: The disruption caused by the installation will decrease sales by $4.93 million this year. As with​ Billingham's existing​ products, the cost of goods for the products produced by the​ XC-750 is expected to be 72% of their sale price. The increased production will also require increased inventory on hand of $1.18 million during the life of the​ project, including year 0.

• Human​ Resources: The expansion will require additional sales and administrative personnel at a cost of $2.05 million per year.

• ​Accounting: The​ XC-750 will be depreciated via the​ straight-line method over the​ 10-year life of the machine. The firm expects receivables from the new sales to be 16% of revenues and payables to be 10% of the cost of goods sold.​ Billingham's marginal corporate tax rate is 21%.

a. Determine the incremental earnings from the purchase of the​ XC-750.

b. Determine the free cash flow from the purchase of the​ XC-750.

c. If the appropriate cost of capital for the expansion is 9.6%​, compute the NPV of the purchase.

d. While the expected new sales will be $10.10 million per year from the​ expansion, estimates range from $8.05 million to $12.15 million. What is the NPV in the worst​ case? In the best​ case?

e. What is the​ break-even level of new sales from the​ expansion? What is the breakeven level for the cost of goods​ sold?

f. Billingham could instead purchase the​ XC-900, which offers even greater capacity. The cost of the​ XC-900 is $4.02 million. The extra capacity would not be useful in the first two years of​ operation, but would allow for additional sales in years 3 through 10. What level of additional sales​ (above the $10.10 million expected for the​ XC-750) per year in those years would justify purchasing the larger​ machine?

Within the female Anopheles mosquito, the malaria-causing protist, Plasmodium sp., is in a gametocyte form, whereby the male gametocyte (microgamete) enters the female gametocyte (macrogamete) to form an ookinete that develops into an oocyst within the midgut of the mosquito. Within the oocyst, multiple sporozoites form, which upon rupturing of the oocyst the sporozoites are released and can infect humans when the female mosquito seeks out a blood meal and inoculates humans with their saliva.

Once entering the human bloodstream the Plasmodium undergoes two life cycle stages. The first is the exo-erythrocytic stage whereby the sporozoites enter hepatocytes and become schizonts that undergo asexual multiple divisions (hence their name). When the hepatocytes rupture merozoites are released and enter the bloodstream where they infect erythrocytes, which begins the second life cycle stage called the erythrocytic stage. Plasmodium uses erythrocyte surface antigens called Duffy factors to enter the cell. Upon entering the erythrocyte the merozoites become schizonts that fill the erythrocyte and eventually cause it to rupture and release more merozoites. These merozoites either re-infect erythrocytes or become gametocytes, which are taken up by Anopheles mosquitos when taking a blood meal.

While in erythrocytes, Plasmodium alters the surface proteins of the erythrocyte so that it will adhere to blood vessel walls, rather than pass through the spleen where infected erythrocytes are destroyed. Adhering erythrocytes occlude blood vessels and reduce blood flow, a conditioned called ischemia. Likewise, these adhering erythrocytes can pass Plasmodium through the blood vessel lining and into organs, which include passing through the blood-brain barrier and causing cerebral malaria.

a) What assumption can be made about Plasmodium’s ability to evade detection by the immune system? If detected, which Plasmodium life stages would be identified and why?

b) What cellular event marks the end of the exo-erythrocytis and erythrocytic stages? Will this event alter blood plasma cation concentrations? If yes, how and what (if any) would the repercussions be on neuronal potentials?

c) During ischemia, what type of metabolism is taking place in tissue deprived of oxygen? What metabolic by-product will accumulate in the tissue?

d) Systemic tissue cells have potassium/proton exchangers in their plasma membranes. What effect will this have on neuronal potentials?

Business Ethics, book Velasquez 7th edition, pg.113

People in West African countries, among the poorest in the world, survive on $ 1 a day and have a life expectancy of 46 years. But in 2004, Equatorial Guinea had a GDP ( Gross Domestic Product) of $ 4,472 per person, the highest in West Africa. In 1995, Equatorial Guinea found oil off its coast, and by 2004 ExxonMobil, Amerada Hess, and Marathon Oil all U. S. oil companies were helping that West African country produce $ 4 billion of oil revenues a year. Equatorial Guineas inexperienced government agreed to give 80 percent of these revenues to the oil companies that drilled the oil for them, although oil companies in developing nations usually take about 50 percent of revenues from oil projects. The oil companies channel through Riggs Bank, a 2004 Senate report revealed hundreds of millions of dollars to Equatorial Guineas president, T. Nguema, and his family for land purchases, security services, and office leases. A Department of Energy report says that because Nguema and his family run the government, the 20 percent of oil revenues that go to the government are spent on lavish personal expenditures, and so most oil money is concentrated in the hands of top government officials while the majority of the population remains poor. If Nguema had not been paid, of course, the Equatorial Guinea government would never have approved the oil project. ExxonMobil says it has spent $ 4 million and Marathon Oil and Amerado Hess claim to have invested millions of dollars on schools, libraries, programs for malaria, polio, and AIDS, health clinics, bridges, waterways, and electricity. A U. S. human rights report says Equatorial Guineas government violates citizens rights of free speech, of the press, of assembly, of due process, of association, of religion, and of movement and uses torture, beatings, and other physical abuse against political opponents.

1. What would utilitarianism, rights theory, and justice say about ExxonMobil, Amerada Hess, and Marathon Oil activities in Equatorial Guinea?

What would utilitarianism, rights theory, and justice say about these activities of Exxon Mobile, Amerada Hess, and Marathon Oil in Equatorial Guinea?

Procedure

Weakness

Principle Violated

1.

Each store manager is responsible for interviewing applicants for cashier jobs. They are hired if they seem honest and trustworthy.

Select a weakness in internal control

Cash is not adequately protected from theftInability to establish responsibility for cash on a specific clerkThe accountant should not handle cashCashiers are not bonded and background checks are not conductedCash is not independently counted

Select a control principle that is violated

Establishment of responsibilityDocumentation proceduresIndependent internal verificationPhysical controlsSegregation of dutiesHuman resource controls

2.

All over-the-counter receipts are registered by three clerks who share a cash register with a single cash drawer.

Select a weakness in internal control

Cashiers are not bonded and background checks are not conductedThe accountant should not handle cashInability to establish responsibility for cash on a specific clerkCash is not adequately protected from theftCash is not independently counted

Select a control principle that is violated

Documentation proceduresHuman resource controlsEstablishment of responsibilityPhysical controlsSegregation of dutiesIndependent internal verification

3.

To minimize the risk of robbery, cash in excess of $100 is stored in an unlocked briefcase in the stock room until it is deposited in the bank.

Select a weakness in internal control

Inability to establish responsibility for cash on a specific clerkCash is not adequately protected from theftCash is not independently countedThe accountant should not handle cashCashiers are not bonded and background checks are not conducted

Select a control principle that is violated

Human resource controlsSegregation of dutiesEstablishment of responsibilityPhysical controlsIndependent internal verificationDocumentation procedures

4.

At the end of each day, the total receipts are counted by the cashier on duty and reconciled to the cash register total.

Select a weakness in internal control

Cashiers are not bonded and background checks are not conductedThe accountant should not handle cashInability to establish responsibility for cash on a specific clerkCash is not adequately protected from theftCash is not independently counted

Select a control principle that is violated

Documentation proceduresEstablishment of responsibilityHuman resource controlsPhysical controlsIndependent internal verificationSegregation of duties

5.

The company accountant makes the bank deposit and then records the day’s receipts.

Select a weakness in internal control

Cashiers are not bonded and background checks are not conductedCash is not independently countedInability to establish responsibility for cash on a specific clerkCash is not adequately protected from theftThe accountant should not handle cash

AMC Distributors is a limited company engaged in the manufacturing and distribution of paper products which are considered fast-moving consumer goods. The company had recently undertaken a successful total quality management (TQM) project to improve its manufacturing efficiency, expedite vendor payments and increase availability of finished products. For its next project, the company wanted to address problems in human resources (HR). By working with HR process owners, a focus for the project emerged – the payroll process. Staffing – the company has a staff complement of 150 employees consisting of factory workers, line supervisors, administrative and ancillary staff. Factory workers are hourly paid whereas supervisors, administrative staff and ancillary workers are paid a fixed salary. There are three different payrolls: Weekly (Factory workers), Fortnightly (Ancillary and Clerical staff) and Monthly (Managers and Supervisors). Overtime is paid based on approved submissions by Head of Departments supported by the respective timesheets. ‘Time and a half’ is paid for work in excess of a 40 hour week and ‘Double Time’ is paid to employees working on public holidays. Income Tax is at the rate of 10% of gross pay. Payroll system– The company currently operates a manual payroll system. The Payroll Administrator maintains several Excel spreadsheets for payroll computations and reporting. It is very cumbersome and prone to errors which has resulted in errors in net pay, lateness in paying employees and late submission of monthly payroll taxes resulting in penalties. Although the Accountant reviews and signs off the Net Pay Listing and Tax Payable Listing for processing of payment, there are still a number of errors which are made. Employees are disgruntled and choose to make other arrangements to make payment for bank loans and insurance premiums as the tardiness and inaccuracies in the current system expose them to penalties for late payment on their external commitments. You are the Financial Controller for the company and have come under a lot of pressure from criticism of the poor quality inherent in the payroll function. You are contemplating your strategy in addressing the challenges faced with a manual system which has outgrown its capability to produce timely and accurate payroll information for paying employees and making the necessary payroll tax returns.

Required:

ii) Prepare a user specification for the acquisition of the payroll system