Investo Case.

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Click the link to access the Investo Case.

Investo Case

Prepare an analysis of the Investo case. Read the case carefully and make sure you understand the nature of the investment that MFS is analyzing. Use the spreadsheet model provided with Exhibits 1 and 2 of the case as a starting point for valuing and analyzing the proposed project and to conduct the analysis called for in the questions at the end of the case.

Note that there is only one proposed investment here; MFS can pay $10.5 million to Investo in exchange for 30 percent of the value of Investo’s manufacturing plus the marketing rights. Prepare a report with a maximum of two pages of text (typed, double-spaced, 12-point font, one-inch margins) plus any relevant supporting exhibits. The case exhibits are provided in spreadsheet format. Structure your report as a business memo, and use the questions at the end of the case as a guide of what to cover. Write clearly, using proper grammar and punctuation. You will want to use an Excel spreadsheet to do the analysis for this assignment, but any exhibits should be produced in MS Word. You should upload only one Word file containing the text of your report plus exhibits. Once you have submitted your report, complete the discussion part of the assignment.

Click the link to access the Excel Spreadsheet for the Investo Case.

Investo Spreadsheet

Submit your report in MS Word format via the Turnitin drop box found within the Assignments area

 

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reply to jennifer breast

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Question 2: When is the ideal time to complete a clinical breast exam?  What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?

           Clinical breast exams are normally done during a woman’s annual vaginal exam.  Normally performed by a healthcare provider with proper training.  The National Comprehensive Cancer Network recommends that a trained provider carefully feel the breast, underarm and the breast bone area for any concerns such as a lump.  Clinical breast exams should be performed every one to three years starting at the age of 20 and every year starting at the age of 40 (Susan G. Komen Staff, 2018).

           The American Cancer Society does not recommend CBE for screening of breast cancer.  Clinical breast examinations lack the evidence to be an effective screening for breast cancer according to The American Academy of Family Physician’s.  The clinical breast exam is a time burden for clinicians, rather it is recommended that more time is spent on the comprehensive assessment of family history and counseling on mammograms and breast changes (Bredemeyer, 2016). 

           If there are abnormal findings during the CBE, it is important to follow with a mammogram or breast ultrasound to identify the concern, if there is a long family history and/or the patient is over 30 years of age. If the patient is under thirty with no family history the physician may decide to watch the area for growth or pain.  Normally that time frame is approximately one or two menstrual periods.  Once the concern is located, and deemed a true concern, biopsy and further testing will be needed.  It is important to note that most abnormal findings are found to be benign, however it is vital to pay close attention to changes in the area of concern and work with the physician to determine course (Bredemeyer, 2016).

           When a patient has a lengthy family history of cancer, either breast or other cancer, yearly mammograms are necessary to determine concerns early.  In recent years there is also Breast magnetic resonance imaging (MRI) that gives a three dimensional look of the breast, this test can also be used after a positive mammogram comes back (Susan G. Komen Staff, 2018).

           It is important to note that if there is a positive screen for breast cancer, it is important to receive a second opinion to ensure that it is not a false positive.  Normally a biopsy will be done to ensure the pathology. References

Bredemeyer, M. (2016). ACS Releases Guideline on Breast Cancer Screening. American Family Physician, 711-712.

Susan G. Komen Staff. (2018, July 6). Clinical Breast Exam. Retrieved from Susan G. Komen: ww5.komen.org/breastcaner/clinicalbreastexam

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stakeholders in health delivery systems

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A.Review the section about internal and external stakeholders and choose one example to study. (Internal stakeholders deliver care, support the care deliverers, or receive the care, while Figure 26–1 lists 12 different types of external stakeholders.)

  • Research your chosen example. Write a report about what part your chosen entity plays within the system. What strategic relationships can you identify for your research subject? Can you make a map of those relationships?
  • How much strategic power do you think your chosen example has within the overall internal and external players within a system? Do you think that power is increasing or decreasing? Explain why within your report.

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Rasmussen NPR Concept Plan Assignment

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Develop and Concept Map, using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

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