Carrier’s Liability

Vanessa Denai owned forty acres of land in rural Louisiana. On the property were a 1,600-square-foot house and a metal barn. Denai met Lance Finney. Who had been seeking a small plot of rural property to rent. After several meetings, Denai invited Finney to live on a corner of her land in exchange for Finney’s assistance in cutting wood and tending her property. Denai agreed to store Finney’s sailboat in her barn.

With Denai’s consent, Finney constructed a concrete and oak foundation on Denai’s property. And purchased a 190-square-foot dome from Dome Baja for $3,395. The dome was shipped by Doty Express, a transportation company licensed to serve the public. When it arrived, Finney installed the dome frame and fabric exterior so that the dome was detachable from the foundation. A year after Finney installed the dome, Denai wrote Finney a note stating, “I’ve decided to give you four acres of land surrounding your dome as drawn on this map.” This gift violated no local land-use restrictions. Using the information presented in the chapter, answer the following questions.

  1. Is the dome real property or personal property? Explain.
  2. Is Denai’s gift of land to Finney a gift causa mortis or a gift inter vivos?
  3. What type of bailment relationship was created when Denai agreed to store Finney’s boat? What degree of care was Denai required to exercise in storing the boat? standard of care applied to the shipment of the dome by Doty Express?

Debate This:
Common carriers should not be able to limit their liability.

Challenging The Reliance of Import Economy

Challenging The Reliance of Import Economy

Greetings Rossana G Nieves, and BUL2261 Law of International Trade – Virtual College Students:

After watching the video: Michael Shuman on Going Local: Creating Self-Reliant Communities in the Global Age, complete the following critical thinking questions – support your position(s) with cited academic/peer reviewed and credible resources. After answering the questions, respond to at least one other classmate’s post with substantive (challenging) information/questions/additional sources.

Watch Video

Answer All Discussion Questions:

  1. Why have imports?
  2. Why limit imports?
  3. How would a city or region that imported less benefit from limiting imports?
  4. What types of products could be more locally produced? Why? How?
  5. In what other areas would self-reliance be a good idea? (other “essentials”)
  6. What are local examples of self-reliance or import substitution? (farmers’ markets, local fairs with local products)
  7. Does self-reliance mean no trade?
  8. In what ways do current laws/regulations make it difficult for businesses to stay local (not export) their labor/resources/businesses? Be Specific.

Ethics of Health Care Professionals

Ethics of Health Care Professionals

Complete the ethics self-assessment found on American College of Healthcare Executives Web site.

Following your assessment, write a 2–3-page analysis of the areas where you are strong in your ethics and the areas where you may examine further to define or improve your ethical stance.

For example, how might you promote discussion of controversial issues affecting community or patient health?

Identify at least 2 sources that you might use to resolve a personal or professional ethical conflict. Cite at least 1 professional reference using APA format.

excellent leadership in healthcare

Please Reply to the following 2 Discussion posts:





APA format with intext citation

Word count minimum of 150 words per post

References at least one high-level scholarly reference per post within in the last 5 years.

Plagiarism free.

Turnitin receipt.




Having an excellent leadership in healthcare can greatly assist in shaping the organization’s culture by emphasizing the significance of giving compassionate and safe care to everyone. There are several types of leadership theory that healthcare system can utilize such as: relational, servant, situational or contingency, clinical and congruent, and transformational or transactional leadership. According to Jeff Belksy (2016), many traditional healthcare leadership models have failed which consequently led to medical errors and higher nurse turnover rates.

servant leadership

When it comes to healthcare; servant leadership seems like a great model because its main focus is on seeking the needs of the team and finding ways to improve. Furthermore, Catherine Best (2020) further explains that some characteristics of a servant leader includes: “…authenticity, humility, integrity, listening, compassion, accountability, courage, altruism…” (Best, 2020). These characteristics help cultivate and develop all members of the team in order to flourish and achieve their maximum potential by building high mutual trust towards one another. Furthermore, high mutual trust will facilitate care efficiently and effectively.

Many hospitals exercise servant leadership. However, an example during my experience as a nurse, is when nurse shift managers hold mid shift meetings in order to address any concerns in the unit or any ideas that can be used to improve the care being provided to the patients as well as preventing nurse burnout or alleviate work related stress. Holding these mid shift meetings were important because it helps target the concerns of each team members and determine whether it can be resolve at that time.





Within nursing, there are different styles of leadership that we encounter. According to (Sfantou et al., 2017), leadership styles play an integral role in enhancing quality measures in health care and nursing. Impact on health-related outcomes differs according to the different leadership styles, while they may broaden or close the existing gap in health care.

The leadership style that I have chosen based on my experience is transformational leadership. As stated by (Pullen, 2016)Transformational leadership creates valuable and positive change in individuals and social systems with the end goal of developing followers into leaders. Transformational leaders display three general characteristics: 1) individualized consideration—the degree to which the leader focuses on each follower’s needs; 2) intellectual stimulation—the degree to which the leader changes assumptions, challenges the status quo, and takes risks; and 3) inspiration motivation—he or she “walks the talk.” In other words, transformational leaders are role models for the change process.

End Stage Renal Disease

Most of my career, I provided care to patients who experienced chronic diseases, End Stage Renal Disease, pre- & post-kidney transplant. As their nurse & leader I stand as an advocate for them. I challenge them to be compliant on their recommended diet and take required routine medication which will provide a positive impact to their monthly laboratory results. Furthermore, I educate them if they are not meeting the goal, consistently following-up with them making sure they are still on track. In that way, patients feel that they are fully engaged in their care and have a sense of Independence.

In my opinion, taking the role of a future APN, a transformational leader is being influential by setting a good example to your patients. It is important to be transparent and provide effective communication on how to manage their care. I would like to show my patients how compassionate and dedicated I am making them feel motivated and empowered. (Fischer, 2017)Historically, it was thought that only nurses in management roles required leadership skills; however, the ability to influence change is a requirement at all levels of clinical practice. Transformational leadership competencies provide nurses with the skills to contribute to improvements in the quality and safety of patient care, while enhancing their career satisfaction.


Building a Health History

Discussion: Building a Health History week 1

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients. But it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented , consider the following:

, Patient Assigned profile 40-year-old black recent immigrant from Africa without health insurance for this Discussion. Note:

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

risk assessment instruments

Select one of the risk assessment instruments presented of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

key moral problems of recent healthcare technology

  • For this week’s assignment respond to one of the following options, and include Option 1, 2, or 3 as part of your heading.
    Option 1: The first option is to name and describe in detail a key specific and recent healthcare technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your approach to what a utilitarian and ethical egoist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.
    Option 2: In the second option, name and describe in detail a key specific and recent social technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your moral approach to what a utilitarian and social contract ethicist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.
  • Option 3: John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old. She developed kidney problems due to eating a high-fat and high-sugar diet.
  • genetic condition

  • If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant.
    All three patients are at the same hospital. The hospital only has one kidney to give out. The orphan’s birth parents were known to be of a religion that is opposed to organ donation. The other patients come from religions that do not oppose organ donation. Who should get the kidney? Why should that candidate receive it over the others? Devise a course of social action and a solution for this case by using the ethics of egoism and then utilitarianism to a key moral conflict involving health care in this case.
  • Appraise the interests of diverse populations (in terms of ethnicity, race, religion, sexual orientation, etc.) and how they relate to the case. Consider whether differing ethical beliefs globally might or not agree with what you say.
    For all the options:
    Cite the textbook and incorporate outside sources, including citations.
    You should not be using any text you used in a discussion board or assignment for this class or any previous class.
    Consider whether differing ethical beliefs globally might or not agree with what you say.
    You will submit the following:
  • audiovisual presentation

    • An audiovisual presentation that presents one of the options above. Be sure to give equal time to each element. Doing a PowerPoint presentation with audio recorded on the slides is preferred. Please refer to the Narrated PowerPoint Tutorial located in the Required Resources in this assignment.
    • Please provide a transcript of anything said in the recording aloud that does not appear as text on a slide. This transcript can be provided as a Word document or placed in the Notes section on the PowerPoint slides.
    • The link or a scan of the article mentioning any health technology, social technology, or case you are reporting on. If you made up the case, please indicate that in your report. If you choose to do option #3 (the case about a shortage of transplant kidneys), your article would likely be an article about the shortage of transplant organs, or a shortage of people signing up to be transplant donors, or the status of educating people about being donors, etc.
    • Length: 4-6 minutes narrated presentation
    • Slide length: 4-6 slides (not including title slide, conclusion slide, or references slide)
    • Title slide
    • Conclusion slide
    • References slide (minimum of 2 scholarly sources cited in APA format; not narrated)
    • you can pick the option and provide the PowerPoint without the audio and one with audio narration
      Requirements: 4-6 slides not including reference or titel
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how to deliver client-centered culturally competent care

In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.

The Case of Mrs. G.

Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her.

Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”

In 3 – 4 pages answer the following questions:

  1. How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
  2. Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
  3. In what way do you believe her culture might be influencing her decision?
  4. If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
  5. Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

Master Degree Nurse Practioner program

This is a Master Degree Nurse Practioner program minimum of 350 words. With at least 2 peer review reference in 7 the edition apa style.  Please do not use international references.

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient? Support your answer with two or three peer-reviewed resources.

Penicillium Camemberti

Penicillium Camemberti

Jennifer Carrigan

Microbiology 1- Dr. R

Penicillium Camemberti is ;

is a “yeast like” fungus from the penicillium group, it is a cellular microorganism.

said to be a “domesticated” form of penicillium commune.

widely and predominantly used in the dairy industry. This fungus is the only truly filamentous strain used for white mold cheese making. Specifically, in the making of the popular cheeses, Camembert, Langres, Coulommiers, Camboloza and Brie. After the lactic acid fermentation, yeast may grow inside and the penicillium camemberti will grow on the exterior, it also gives these cheeses a unique and earthy flavor.

The penicillium camberti is either added directly into the cheese while being made or onto the exterior. During this process, the fungus forms a firm protective crust which can sometimes vary in color. The color often stays white but due to differences in strains of penicillium camemberti, some produce a larger amount of lipolytic and proteolytic enzymes while others produce a larger amount of mycotoxin cyclopiazonic acid.

Thus, causing some strains to produce a heavy white mycelium or a flatter white mycelium. Some strains can also present in shades of gray or green. When used on cheeses that are made using raw milk, the color could change even more over time, presenting with a mycelium of pink, red, or even yellow. The addition of salt also plays a role in the color as well. This crust that forms on the exterior is greatly beneficial because it hinders the growth of unwanted or potentially harmful mold contaminants during the aging process.

the production of fermented meat products

In addition to its primary use in making cheese, penicillium camemberti  is also used as a starter culture in the production of fermented meat products. It is often found as an natural colonizer of fermented sausages, such as salami, peperoni and chorizo, originating from the mycobiota of the production facility. It also provides the meat with a unique” ripened flavor” while preventing the lipids from oxidation. This process greatly improves the flavor, smell and overall quality of these meats.

Penicillium  camemberti has been predominantly used in the dairy industry but is still being researched today to find future uses in other nondairy-related areas.



J.C. Frisvad, in  Encyclopedia of Food Microbiology (Second Edition) , 2014

“A. Abbas, A.D.W. Dobson, in  Encyclopedia of Dairy Sciences (Second Edition) , 2011” (“Penicillium camemberti – an overview | ScienceDirect Topics”)

Bruna, José M.; Hierro, Eva M.; de la Hoz, Lorenzo; Mottram, Donald S.; Fernández, Manuela; Ordóñez, Juan A. (15 August 2003). “Changes in selected biochemical and sensory parameters as affected by the superficial inoculation of Penicillium camemberti on dry fermented sausages”. International Journal of Food Microbiology85 (1–2): 111–125. doi: 10.1016/s0168-1605(02)00505-6 . PMID    12810276 .

Marjorie Kelly Cowan ; Heidi Smith. “Microbiology, A systems Approach, Sixth Edition.”

screenings to anticipate a patient’s health needs in the future

Number 1 post: CF


Nurse practitioners (NPs) look beyond routine screenings to anticipate a patient’s health needs in the future. By providing relevant educational information. And encouraging regular follow-up visits to assess progress. And alter wellness plans, NPs can not only assist patients in managing their existing problems. But also to avoid future conditions (Edelman & Kudzma, 2018).

Health promotion and prevention

Based on their educational level, NPs have the skills and knowledge to communicate effectively. Plan individualized care with team members, and use shared decision making to determine treatment which is very important in health promotion and prevention in the community (Georgiev et al., 2019). APNs can provide lifestyle modification, treatment regimens, care coordination, tailored patient care, and health promotion, among other things to promote health in the community. (Edelman & Kudzma, 2018). Community nursing is very important to help promote good health and prevention of disease. It is important for the APN to discuss topics that is relevant to the individual patient and create individual goals.

Health promotion and prevention in the community includes promoting vaccines, healthy diet and lifestyles as well as important health screenings such as prostate exams, colonoscopies, mammograms, PAP smears, screening for diabetes, etc. A lot of diseases are preventable and/or can be reversed with proper health promotion and lifestyle changes. As diseases are a burden on our healthcare and financial system. Nurses have a unique role in building trust and rapport with patients to help achieve individual goals, quality of life for the individual as well as the community.


Number 2 post: MS

Community nursing is not just health teaching or preventative medicine in a place other than an office setting, but has been developed from a social model of health generated from community models of practice (St John & Keleher, 2020). These services include epidemiology, public health, social science, health promotion, and general nursing knowledge. Community nursing does not necessarily mean caring for someone in their home, but rather caring for the community as a whole and exploring what obstacles, barriers, and needs of the community are and helping to address those needs.

local health issues

A nurse practitioner can help to establish initiatives, respond to the community’s needs, and create an environment that addresses local health issues (Mathieson, Grande, & Luker, 2019). These services include preventative care and education as well as interventional care. Nurse practitioners working in a community health role also advocate for the community and research policy developments that can help to eliminate healthcare disparities. Examples of community health nursing include addressing poverty and hunger, promote primary education, reduce child mortality, combat HIV/AIDS and other diseases, ensure environmental sustainability, and develop a global partnership for development (Anderson & McFarlane, 2020).

Earlier in this class we learned about health disparities and how certain populations are more susceptible to sub-par care and higher disease rates, such as in the LGBT community. When implementing community-based programs, it is important to be informed on the culture you are working with to ensure culturally appropriate and culturally sensitive care. Rather than focusing on disease-specific problems, we should develop new programs with the goal of primary prevention. People in communities “deserve comprehensive nursing care aimed at improvement of health for all” (Anderson & McFarlane, 2020). The community as well as the nurse practitioner should have common goals in healthcare with accessibility and services available to all.