All posts by : chebby

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

 Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. 

At least 3 references  within the past 5 years

APA format

1 page

Mainpost

Case study:

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Discussion: Diversity and Health Assessments

Introduction

            Health care providers should exhibit knowledge of population diversity and treat all patients with respect regardless of their culture and belief system. This is essential in understanding patient’s lifestyle, and behavior which may affect their health care. Accepting patient’s culture in a nonjudgmental manner creates a unique relationship between the patient and the healthcare provider. Therefore, APRN’s should be cognizant of patient’s culture, beliefs, lifestyle, and socioeconomic status as it relates to healthcare. A culturally competent healthcare provider accustoms his/herself to the exclusive needs of patients with cultures that are different from his or her own. Being accustomed to the belief’s and values of a patient lays the foundation for a trusting patient-provider relationship (Ball et al., 2019).

Socioeconomic, Spiritual, Lifestyle, and Cultural Factors Associated with the Patient

            The case study presents an 86-year-old Asian male that is physically and financially dependent on his daughter who is a single mother with little money to care for the patient’s healthcare needs.  Understanding the Asian culture is relevant to providing care to this elderly patient.  I will verify patient’s preferred language, ask about patient’s preference with a healthcare provider regarding race or ethnicity, gender, and age. Ensuring respect for this patient despite his financial and physical dependency will encourage a trusting relationship between the patient and the health care provider. Asian culture is known to teach respect for parents and family is a priority over self. Additionally, in Asian culture adult children are required to make financial, physical, and social sacrifices for their parents that are aging (Miyawaki, 2015). As a healthcare provider, I will welcome this patient, show respect by avoiding eye contact as some Asian countries consider making eye contact as rude. Maintaining eye contact is not done with individuals of East Asian cultural backgrounds. Also, the Japanese culture, teaches against maintaining   eye contact with others as it is believed to disrespectful (Uono & Hietanen, 2015).

            I will make the patient understand that I am familiar with culture of adult children caring for their aged parents. I will explain to the patient that he should not consider himself a burden to his daughter as the daughter is maintaining the requirement of their culture. This will encourage a relaxing environment that will enable the patient to feel accepted and ready to relate with the health care provider. Respect for the patient’s spiritual and religious belief is also vital. The patient should be asked about any spiritual belief that may affect his healthcare when sick or dying. Also, the APRN should inquire about spiritual or religious groups that the patient may belong that could be supportive in providing some assistance to his healthcare. Spirituality and faith help Asian-Americans manage the turmoil of adapting to a new country, by providing a safe environment where immigrants can socialize and be of assistance to one another (Lee & Eun-Kyoung, 2017).

Sensitive Issues

            I will inquire if the patient is compliant with taking his medications as prescribed and access for the use of over the counter, herbal, or traditional medications. This is especially important as the patient takes lisinopril 10mg QD, prilosec 20mg QD, B12 injections monthly, and cipro 100mg QD. To avoid drug interactions, it is important to ask about additional medications that the patient may be taking. Examples of Chinese herbal medicine include astragalus, ginger, licorice, panax ginseng, and schizandra. Traditional medicine is used across Asian societies for daily health maintenance, and treatment of certain medical conditions. Also, in China, Japan, and Korea, traditional medicine has become almost or equivalent to conventional medicine (Mu et al., 2020).

            Furthermore, the functionality of the patient will be accessed to determine the level of dependency on the daughter. Activities of daily living like feeding, bathing, wearing clothes, grooming will be accessed. Asking about financial assistance with purchasing medications, proper feeding and housing is vital to ensure the overall needs of the patient are catered for. Due to socioeconomic status and financial constraint of the patient and his caregiver (daughter), I will recommend the help of a social worker to provide the services of a home health nurse and home health nursing assistant. This will ensure that patients’ needs are met, and the patient takes his medications in a timely manner thereby relieving the responsibility on the patient’s daughter.  In addition, the services of physical and occupational therapy will be sorted to help strengthen any weak muscles or extremities to ensure some dependence with physical activities. I will explain to the patient that my recommendation for a social worker is to help him meet his daily needs and not to disrespect him. This will maintain patients pride and ego.

Targeted questions to assess health risks

1. Do you have health insurance, or do you pay out of pocket for your medications?
2. Do you take your medications as prescribed?
3. Do you check your blood pressure at home?
4. Would you want to receive help with feeding, clothing, bathing, or moving around your home?
5. Do you experience any pain or difficulty in urinating?
6. In the las two weeks have you experienced sleep disturbances, decreased appetite, feeling of sadness, hopelessness, or guilt, thoughts of committing suicide and poor concentration.
7. In what way do you think you are a burden to your daughter?
8. How often do you eat and what type of food do you eat?
9. Do you take any herbal, traditional or over the counter medications?

            The questions above are used to access the patient’s access to his medications and if he is compliant with taking his medications. The need to access for patient’s knowledge about checking his blood pressure due to his history of hypertension. Accessing patient’s willingness to receive outside resources like home health assistance is essential to providing the needed healthcare. Question about urinating accesses the history of prostatitis. Accessing for depression in the elderly is crucial to determine the patient’s mental state. Elderly Asian immigrants in the US are at risk of depression (Seungah & Eun-Kyoung, 2017). Evaluating the patients feeding habits and if the patient takes any medication outside his prescribed medications determines the patient’s health risk.

References

Ball, J., Dains, J., Flynn, J., Solomon, B., Stewart, R. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Lee, R., Eun-Kyoung, O. (2017). Faith, spirituality, and values among Asian-American older adults: An exploratory factor analysis of the multidimensional measures of religion and spirituality. Mental Health, Religion & Culture, 19 (8), 920–931.    doi:10.1080/13674676.2017.1290593

Miyawaki, C. (2015). A review of ethnicity, culture, and acculturation among Asian caregivers of older adults. SAGE Journals. https://doi.org/10.1177/2158244014566365

 https://journals.sagepub.com/doi/full/10.1177/2158244014566365

Ryu, S., & Lee, O. E.-K. (2016). Faith, spirituality, and values among Asian-American older adults: An exploratory factor analysis of the multidimensional measures of religion and spirituality. Mental Health, Religion & Culture, 19 (8), 920-931. https://doi- org.ezp.waldenulibrary.org/10.1080/13674676.2017.1290593

Uono, S., Hietanen, J. (2015). Eye contact perception in the West and East: A cross-cultural study. Plus One. https://doi.org/10.1371/journal.pone.0118094

Xin, B., Mu, S., Tan, T., Yeung, A., Gu, D., Feng, Q. (2020).  Belief in and use of traditional Chinese medicine in Shanghai older adults: A cross-sectional study. BMC Complement Medicine and Therapies 20 (128). https://doi.org/10.1186/s12906-020-02910-x. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-020-  02910-x

Respond to the following questions and answer in more than 5 sentences but less than 10 sentences each: 

1. Describe the culture of safety in healthcare.

2. How does this compare to the blame culture?

Benchmark – Professional Capstone and Practicum Reflective Journal 

Students maintained and  submitted weekly reflective narratives throughout the course to explore  the personal knowledge and skills gained throughout this course. This  assignment combines those entries into one course-long reflective  journal that integrates leadership and inquiry into current practice as  it applies to the Professional Capstone and Practicum course.

This  final submission should also outline what students have discovered  about their professional practice, personal strengths and weaknesses  that surfaced during the process, additional resources and abilities  that could be introduced to a given situation to influence optimal  outcomes, and, finally, how the student met the competencies aligned to  this course.

The final journal should address a variable  combination of the following, while incorporating your specific clinical  practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While  APA style is not required for the body of this assignment, solid  academic writing is expected, and in-text citations and references  should be presented using APA documentation 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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

The following there weeks will review the APRN scope of practice. We must know and get familiar with the procedures, actions, and processes permitted by our professional license.

Review the following article: https://journals.sagepub.com/doi/full/10.1177/0193945918820338

Mark, B. A., & Patel, E. (2019). Nurse Practitioner Scope of Practice: What Do We Know and Where Do We Go?. doi:https://doi.org/10.1177/0193945918820338

 assignment:

 From above identify three challenges the Advanced Nurse Practitioner encounter in their Scope of practice (SOP), include them on this week first peer response due.

Scholarly article as reference must be included on your post and peer responses when due.

————————————————————————————————————————————————————————————————

we will be covering the APNP scope on practice: relationship with supervised physician via protocol covered on your portfolio assignment, new introduced controlled substance prescribed abilities, our role on research and evidence based practice, etcetera. It is very important to understand your scope of practice which basically determined yours legal scope of practice.

The scope of practice describes the procedures, actions, and processes that a health care practitioner is permitted to undertake in keeping with the terms of their professional license.

(Scope of practice – Wikipediahttps://en.wikipedia.org/wiki/Scope of practice)

Recommended readings:

1. Scope of practice of nurse practitioners: professional role.https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

2. State practice environment (AANP).https://www.aanp.org/advocacy/state/state-practice-environment

3. I want to take an opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).This privilege was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017). Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 fromhttps://en.wikipedia.org/wiki/

Comprehensive Drug_Abuse_ Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.js

Discussion Board

Refer to the following website and review the Florida controlled substance law for us as APRN.

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.flmedical.org/Florida/Florida_Public/Docs/FMA-Opioid-HB21.pdf

https://fnpn.enpnetwork.com/nurse-practitioner-news/133651-dea-licensure-information-for-florida-

https://www.cdc.gov/drugoverdose/prescribing/guideline.html

https://www.cdc.gov/drugoverdose/data/index.html

• WHEN WAS PRESCRIPTION AUTHORITY FOR APRN APPROVED, SPECIFICALLY IN FLORIDA?
• WHICH ARE THE REQUIREMENTS FOR THE APRN BE GRANTED AUTHORIZATION/PRIVILAGES TO PRESCRIBED CONTROLLED SUBSTANCE?
• WHAT IS CONSIDERED CONTROLLED SUBSTANCE?
• HOW TO APPLY FOR DEA NUMBER?
• VISIT THE CDC WEBSITE, AND ELABORATE ON THE CURRENT ISSUE WITH CONTROLLED SUBSTANCE ABUSE IN THE USA AND FLORIDA?

Please answer one by one 

Use APA 6 TH edition

No Plagiarism

2-3 REFRENCES NO OLDER THAN 5 YEARS

AT LEAST 350 WORDS

DUE DATE 10/28/2020/ NO LATER THAN 10/28/2020 PLEASE

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, 7 and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

Consider especially vulnerable populations within those communities and identify their specific challenges. 

(Mandatory)  You must include in the references : Websites such as CDC’s Climate and Health or EPA’s Climate Change Adaption Resource Center

Assisting communities to adapt to climate change is a challenge we face. 

1. Pick a community near you and determine what climate change impacts they may face (Miami).

2. What vulnerabilities they may have. 

Part 2: Complementary and alternative Health Care

Topic: Aromatherapy

1. Introduction

2. Where does the word Aromatherapy come from?

3. Background / history

Part 3: Crisis Intrvention

Violent Behavior in Institutions

Statistics shows that 48% of no fatal injuries from occupational assaults in the United States occurred in health care and social services particularly mental health workers.

1.  Mention, explin and discuss at least 3 precipitating factors for violent behavior in institutions?

Part 4: Ethical and Nursing

A group of nursing students are in the middle of an exam when two students witness another student pull out his phone and look up answers. Neither student informs the faculty member but after the exam they discuss what they witnessed.

1. Describe  2 most common forms of cheating in the classroom and in the clinical area.

2. What should the nursing students do in regard to what they witnessed during the exam? 

3. Why is it important for them to do anything? 

Part 5: Aging

1.  Identify two common urinary tract difficulties commonly experienced by the elderly

2. Write two appropriate nursing intervention for the two urinary tract difficulties in elderly  of point 1

3. Describe two age-related changes in male and female reproductive systems, (Mandatory) citing normal and abnormal conditions.

Part 6: Health Care policy

1. Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. 

2. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection. 

You must select: VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes and link this Essentials to point 1.

Reference:

American Association of Colleges of Nursing (AACN). (2017). The Essentials of Master’s Education in Nursing. AACN. Retrieved from

(Mandatory include this Website as a reference) consult the attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: 

https://www.jointcommission.org/en/resources/news-and-multimedia/blogs/improvement-insights/2020/01/02/improving-transgender-or-gender-non-conforming-health-care-quality/ 

Part 7: Health Care policy

1. Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. 

2. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection. 

You must select: VI: Health Policy and Advocacy and link this Essentials to point 1.

Reference:

American Association of Colleges of Nursing (AACN). (2017). The Essentials of Master’s Education in Nursing. AACN. Retrieved from

(Mandatory include this Website as a reference) consult the attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: 

https://www.jointcommission.org/en/resources/news-and-multimedia/blogs/improvement-insights/2020/01/02/improving-transgender-or-gender-non-conforming-health-care-quality/ 

Part 8: Health Care policy

1. Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. 

2. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection. 

You must select: VIII:  Clinical Prevention and Population Health for Improving Health  and link this Essentials to point 1.

Reference:

American Association of Colleges of Nursing (AACN). (2017). The Essentials of Master’s Education in Nursing. AACN. Retrieved from

(Mandatory include this Website as a reference) consult the attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: 

https://www.jointcommission.org/en/resources/news-and-multimedia/blogs/improvement-insights/2020/01/02/improving-transgender-or-gender-non-conforming-health-care-quality/ 

REPLY1

I consider myself a relatively new nurse compared to so many experienced nurses with careers spanning years.  During my short career, the nursing shortage has always existed. This year the challenges of staffing shortages exceeds any other times I have experienced. We all recognize the COVID-19 pandemic as impacting the nursing shortage across the country with states continuing to plea for help to fill the vacancies. Prior to COVID-19, burnout was already making headlines with reporting that increased workloads, daily pressure and chaos in addition to our dysfunctional health care systems as contributing factors (Wan, 2019).

     The nursing shortage at one facility I am currently working has become so extreme that incentives (bonus pay) to fill shifts has become normal practice. Although the extra income can be enticing, the mental and physical ramifications are often not worth putting in another 12 or more hours. Coordination of staff during these shortages impacts the entire facility and is often handled by administrative personnel located in other cities. Often the supervisory staff are in positions that prevent them from making time-sensitive decisions regarding staffing because administrators are slow to respond. Unfortunately, the shortages and inability for efficient staffing impacts the nurses and increases risks to our patients.

                                                                  Reference

Wan, W. (2019). Health-care system causing rampant burnout among doctors, nurses. https://www.washingtonpost.com/health/2019/10/23/broken-health-care-system-is-causing-rampant-burnout-among-doctors-nurses/

REPLY2

I am currently working in a sub- acute unit of an extensive care center. The center is divided into two sub-acute and senior nursing faculty. However, sub- acute unit is very different from other unit because patients here require total care, have PEG tubes, have tracheotomies and have high levels of acuteness. The unit has 27 beds and each nurse is responsible for taking care of 8 patients in eight hours shift. Nurses also assist other health professionals like CNAs to recommend ADLs (Snavely, 2016).

Nevertheless, we are faced with high nurse turn-over rates. I can say it has been hectic one year working in this unit due to voluntary quits because of heavy workloads hence this has affected patients safety. Inadequate training also leads to high turnover rates and for our organization training takes at most 2 weeks, which is short period for one to grasp everything. Implications include burnout and voluntary job quits (Brunetto, Rodwell, Shacklock, Farr‐Wharton & Demir, 2016). According to Snavely (2016), nurses become dissatisfied because of heavy workloads and as a result quit thus leading to high turnover rates.

Reference

Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United

States. Nursing Economics, 34(2), 98-101.

Brunetto, Y., Rodwell, J., Shacklock, K., Farr‐Wharton, R., & Demir, D. (2016). The impact of

Individual and organizational resources on nurse outcomes and intent to quit. Journal of

advanced nursing, 72(12), 3093-3103.

Putting It All Together

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least two (2) sources and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the Signature Assignment rubric criteria for this assignment.

This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have 2-4 slides per theory with a total of 8 theories discussed. 

• Describe the theory
• Provide 3 examples of how the theory applies to current practice
• Provide 3 positive patient outcomes resulting from utilizing the theory
• Explain 3 benefits to nursing satisfaction when utilizing the theory
• Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)
• Support from literature clearly noted throughout

The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.

Total Point Value of Assignment: 500 points

Assignment Expectations:

Length: 2 to 4 slides per theory, for a total of 16-32 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. You cannot pass this class without passing this assignment.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document