God and the angels to earth

 

post contains three assignments

Communication Plan

Order Description

Crisis Communication Plan

Develop a crisis communication plan for an organization of your choice. Include a social media policy.
Combine the sections of the plan that you have already worked on throughout this course, being sure to make
adjustments for any feedback you might have received from the professor.
Plan should be no less than five pages long and include, at a minimum, the following items:
? Title page (with clear identification of organization)
? Statement of purpose
? Scope
? Situations and assumptions
? Audience profile
? Chains of command/approval processes (operations)
? Key communication strategies
? Delegation of responsibilities
? Evaluation of communication efforts
? Guidelines specific to social media use
? References
Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

2: Relationship Between heaven and Earth

• Ascent of Moses to heaven
• Descent of the Torah to earth
• Descent of God and the angels to earth
Texts To Be Examined
Mekilta’ de – R.Ishmael (ca.4th century CE)
• Tannaitic Midrash
• Halakhic
• Exegetical
Pesiqta’ de – R.Kahana (ca.5th century CE)
• Classical Amoraic Midrash
• Aggadic
• Homiletical (special Sabbaths and festivals)
Babylonian Talmud (ca.6th century CE) (if applicable)
Pesiqta’ Rabbati (ca.7th century CE)
• Post – Talmudic Midrash
• Aggadic
• Homiletical (special Sabbaths and festivals)
Exodus Rabbah II (ca.9th century CE)
• Post – Talmudic Midrash – Tanhuma’ Yelammedenu Midrash
• Aggadic
• Homiletical (regular Sabbaths)
Pirqe de – R.Eliezer (ca.8th century CE)
• Post – Talmudic Midrash
• Aggadic
• Narrative
Essay Guidelines
1. History of Interpretations. The essay should trace the history of interpretations of the particular theme through the various Midrashic texts listed above, drawing on the material on the Sinai revelation found in the Reader.
2. Essay Sections. Divide the essay into sections with headings, with one section devoted to each of the texts to be analyzed. (see list above). Begin each section with a brief
discussion of the nature of the specific text to be examined. Then provide a close textual analysis of the text’s treatment of the particular theme, delineating the major trends of speculation and examining relevant passages that exemplify each of these trends. As you move from section to section, tracing the history of interpretations of the theme through each layer of Midrashic texts, highlight both the continuities and the transformations in the ways in which the theme is treated in different texts.
3. Introduction. In the introduction of the essay you should introduce the theme to be examined and frame your analysis by providing a synoptic overview of the central trends of speculation associated with the theme.
4. Conclusion. In the conclusion of the essay you should provide an overview of the fruits of your analysis, summarizing the key points of continuity and transformation that you have discerned in tracing the history of interpretations.

3:PATHO PHYSIOLOGY

ASSIGNMENT DETAILS

The ability to communicate your knowledge in oral and written formats is a core academic skill set you should acquire

Learning Outcomes
– demonstrate an understanding of the pathophysiology, diagnosis and prehospital management of patients with respiratory-related conditions,
– apply an integrated understanding of the anatomy and physiology of body systems to paramedic practice,
– define and effectively convey clinically relevant information in an organised and logical fashion,
– support your viewpoints with sound reference sources and where possible provide a balanced critical assessment of the evidence base used to inform accepted clinical practices,
– broaden your understanding of the relationships between body systems and the development of pathology/pathophysiology

Assignment Requirements

A 1500 word, structured response answering the specific questions presented in the following case study.

• Information provided in your answers must be referenced following academic conventions. A bibliography should be included at the end of your document conforming to Harvard (author/date) format. References and in text citations are not included in the word count.
• Diagrams can be included to help support your answers – they are not included in the word count.
• Use the answer template provided by pasting it into a new document

Patient Background
You have been tasked Priority 2 to a 75 year old man with chest tightness and shortness of breath. On your arrival you find a very thin, elderly man sitting on a chair with his arms braced on his knees. He looks very dyspnoeic. His initial observations are:
Table 1
Respiratory rate 45 breaths/minute
Heart rate 120 beats/minute
Blood Pressure 95/50 mmHg
Oxygen saturation 82%
Glasgow Coma Score 13 (E=3,V=4, M=6)

The man’s name is Mr Wenham, and he is only able to speak single words. His wife tells you that his breathing is never very good, because he smoked far too much. She says he sometimes struggles to walk around the house.
Table 2
Symptoms Shortness of breath, chest tightness, cough
Onset “His breathing has been particularly bad for the last two days and much worse for the last hour or so”
Chest examination Barrel chested, little chest wall movement
Breathing sounds Very quiet breath sounds, occasional wheeze
Jugular veins Elevated 5cm

You form the view that Mr Wenham is suffering from an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). You administer supplemental oxygen, atrovent and salbutamol (following local guidelines), and prepare for the 60 minute journey to hospital.

1. Describe the pathophysiological changes that occur in COPD and lead to the signs and symptoms listed in Table 2. With reference to the relevant pathophysiological changes, explain the reason/s for the patient observations listed in Table 1.(20 marks)

2. Discuss why you would administer salbutamol and describe how it works at the cellular level.(10 marks)

Mr Wenham’s oxygen saturation improves with supplemental oxygen but he remains tachypnoeic, tachycardic and hypotensive. On arrival at the Emergency Department you go straight to the resuscitation room and an arterial blood gas sample is taken and analysed immediately with the following results:
Table 3
pH 7.12
PaO2 100 mmHg.
PaCO2 110 mmHg
HCO3 38

3. Discusswhy they would take an arterial blood gas and explain what the results mean and how they relate to the pathophysiology you described.(10 marks)

The emergency department staffsuggest you may have given Mr Wenham too much oxygen. They say they are going to remove the oxygen.

4. Overview the normal physiological control of breathing (not the mechanics of ventilation). Then, explain how carbon dioxide retention might occur when COPD patients are receiving supplemental oxygen. How would you recognise this if it was happening to Mr Wenham? (20 marks)

5. When considering his blood gas analysis, do you think it is a good idea to remove Mr Wenham’s oxygen and have him just breathing air? Provide an argument supporting why it is OR why it is not.(10 marks)

The emergency department consultant returns from his lunch break to interrupt the oxygen debate. He suggests that Mr Wenham needs BiPAP.

6. What is BiPAP? How might BiPAP help to improve Mr Wenham’s clinical condition? (10 marks)

Three days later, after 18 hours of BiPAP, corticosteroids and physiotherapy, Mr Wenham is much improved. The respiratory physician responsible for his care orders spirometry. This shows:
Table 4
FEV1 0.75 litres
FVC 1.5 litres
FEV1/FVC 50%

7. What is spirometry? (5 marks)

8. Discuss the significance of the results by examining the differences between Mr Wenham’s spirometry and that of a normal individual? (10 marks)

9. How does the pathology of COPD explain these differences? (5 marks)

PARA2001: Integrated Clinical Case
Answer Template (cut and paste into a new document).
1. Describe the pathophysiological changes that occur in COPD and lead to the signs and symptoms listed in Table 2. With reference to the relevant pathophysiological changes, explain the reason/s for the patient observations listed in Table 1.(20 marks)

2. Discuss why you would administer salbutamol and describe how it works at the cellular level. (10 marks)

3. Discuss why they would take an arterial blood gas and explain what the results mean and how they relate to the pathophysiology you described. (10 marks)

4. Overview the normal physiological control of breathing (not the mechanics of ventilation). Then, explain how carbon dioxide retention might occur when COPD patients are receiving supplemental oxygen. How would you recognise this if it was happening to Mr Wenham? (20 marks)

5. When considering his blood gas analysis, do you think it is a good idea to remove Mr Wenham’s oxygen and have him just breathing air? Provide an argument supporting why it is OR why it is not.(10 marks)

6. What is BiPAP? How might BiPAP help to improve Mr Wenham’s clinical condition? (10 marks)

7. What is spirometry? (5 marks)

8. Discuss the significance of the results by examining the differences between Mr Wenham’s spirometry and that of a normal individual. (10 marks)

9. How does the pathology of COPD explain these differences? (5 marks)

communication plan