Tag: Model Answer

[Solved] Criminal Justice

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Discuss the key differences between probation and parole supervision, including how offenders are placed on these types of supervision. As part of your response evaluate the three (3) styles (law enforcement, counselor, and social worker) of community corrections supervision that an officer might ad…

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Assignment Prompt & Instructions

Discuss the key differences between probation and parole supervision, including how offenders are placed on these types of supervision. As part of your response evaluate the three (3) styles (law enforcement, counselor, and social worker) of community corrections supervision that an officer might adapt with respect to how they might be used on different types of offenders to increase the chances of rehabilitation success
500 words/ 3 references

November 5, 2026
[Solved] Criminal Justice

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Discuss the key differences between probation and parole supervision, including how offenders are placed on these types of supervision. As part of your response evaluate the three (3) styles (law enforcement, counselor, and social worker) of community corrections supervision that an officer might ad…

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Assignment Prompt & Instructions

Discuss the key differences between probation and parole supervision, including how offenders are placed on these types of supervision. As part of your response evaluate the three (3) styles (law enforcement, counselor, and social worker) of community corrections supervision that an officer might adapt with respect to how they might be used on different types of offenders to increase the chances of rehabilitation success.
500 words/ 3 references

November 5, 2026
[Solved] Hindu Deity Discussion PH2300

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It is said that there are over _**330 million Gods and Goddesses**_ within the Hindu religion and each god or goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting _**2 different Hindu Gods or Goddesses**_ (including avatars o…

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Assignment Prompt & Instructions

It is said that there are over _**330 million Gods and Goddesses**_ within the Hindu religion and each god or goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting _**2 different Hindu Gods or Goddesses**_ (including avatars or manifestations of other Hindu deities) of your choosing about whom you would be interested in learning more. Please feel free to select any Hindu God or Goddess, not just the top 10 most popular ones.
For each selected Hindu Deity, you must provide the following:
1. **Name and Title (Ex: Vishnu, God of Preservation)**
2. **Image of the Deity**
3. **Brief explanation of why you chose that specific God or Goddess.**Below are some examples of this:
– Maybe that Hindu God or Goddess reminds you of a Christian saint or biblical character who is the Catholic patron or patroness of a particular human endeavor, career field, or avocation that somehow pertains to you
– Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music
– Maybe you found the specific image of that God or Goddess intriguing
– Maybe there is a pop culture reference to the Deity
– Ex: TV series, movie, book, video game, etc.
4. **Deity in Scripture**
– Summarize a story from the Hindu scriptures in which that the Deity plays a major role.
– This can be his or her origin story or another important story about the Deity.
5. **Relationship to other Hindu Deities**
– How is this specific deity related to at least _**2 other Hindu Deities?**_
– Ex: Is the selected deity a mother or father to another deity or possibly a husband or wife of another deity?
6. **Imagery & Symbolism**
– Explain the traditional symbolism associated with the selected Deity
– Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them
**Websites** for assistance in selecting specific Hindu Gods or Goddesses:
– [**BBC: God or Gods?**](https://www.bbc.co.uk/religion/religions/hinduism/beliefs/intro_1.shtml)
– [**Hindu Gallery**](https://www.hindugallery.com/)
– **Hindu American -** [**https://www.hinduamerican.org/Links to an external site.**](https://www.hinduamerican.org/)
– **RitiRiwaz -** [**https://www.ritiriwaz.com/category/gods-and-goddesses/**](https://www.ritiriwaz.com/category/gods-and-goddesses/)
– **RitiRiwaz -** [**https://www.ritiriwaz.com/?s=hindu+god**](https://www.ritiriwaz.com/?s=hindu+god)
– [**Hindu Gods and Goddesses**](https://www.dummies.com/article/body-mind-spirit/religion-spirituality/hinduism/hindu-gods-and-goddesses-187563/)
– [**Information on Hinduism**](http://www.primaryhomeworkhelp.co.uk/religion/hinduism.htm)
– [**https://en.wikipedia.org/wiki/List_of_Hindu_deities**](https://en.wikipedia.org/wiki/List_of_Hindu_deities)
– [**Ten of the Most Important Hindu Gods**](https://www.learnreligions.com/top-hindu-deities-1770309)
– [**https://www.worldhistory.org/hinduism/**](https://www.worldhistory.org/hinduism/)
Please Note: You are not limited to using these websites as additional websites and the Van Voorst textbook may be beneficial for you to consider consulting.
**Submission Instructions:**
– Your post should be comprised of at least 150 words. Your citations and bibliography should follow the Chicago-Turabian style. **Rubric** attach

November 5, 2026
[Solved] discussion

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– ## unit3discussion.docx **## unit3discussion.docx** It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is …

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Assignment Prompt & Instructions

– ## unit3discussion.docx

**## unit3discussion.docx**

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Classroom Participation

Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

Initial Response

You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range.

· Last month his Hgb A1C was 7.8

· He is on Metformin 1000mg twice a day and Glipizide 5mg daily.

· He walks a couple miles three to five times a week.

· A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams per day.

· Last eye exam did not reveal any problems. He wears reading glasses when needed.

· He does report some intermittent burning sensation in his feet.

· Ht 5’10”, Wt 168 lbs, BP 118/72, P 72, R 17

· Heart regular rhythm, without murmur or gallop

· Lungs clear

· Monifilament testing does not reveal any decreased sensation in the feet

Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

· Provide your diagnosis.

· Discuss how you would manage the patient’s current diabetes regimen and provide a rationale supported by scholarly reference for your treatment plan.

· Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

· Describe the patient education you would provide in relation to your treatment plan.

· Provide your plan for follow-up and/or referral (if indicated)

Please be sure to validate your opinions and ideas with citations and references in APA format.

**## unit3discussion.docx**

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Classroom Participation

Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

Initial Response

You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range.

· Last month his Hgb A1C was 7.8

· He is on Metformin 1000mg twice a day and Glipizide 5mg daily.

· He walks a couple miles three to five times a week.

· A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams per day.

· Last eye exam did not reveal any problems. He wears reading glasses when needed.

· He does report some intermittent burning sensation in his feet.

· Ht 5’10”, Wt 168 lbs, BP 118/72, P 72, R 17

· Heart regular rhythm, without murmur or gallop

· Lungs clear

· Monifilament testing does not reveal any decreased sensation in the feet

Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

· Provide your diagnosis.

· Discuss how you would manage the patient’s current diabetes regimen and provide a rationale supported by scholarly reference for your treatment plan.

· Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

· Describe the patient education you would provide in relation to your treatment plan.

· Provide your plan for follow-up and/or referral (if indicated)

Please be sure to validate your opinions and ideas with citations and references in APA format.

November 5, 2026
[Solved] NUR504W4

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– ## NUR504W4.docx **## NUR504W4.docx** ![A screenshot of a medical document AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur504w4) ANSWER QUESTIONS: 1. What other subjective data would you obtain? 2. What other objective findings would you look for? 3. What diagno…

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Assignment Prompt & Instructions

– ## NUR504W4.docx

**## NUR504W4.docx**

![A screenshot of a medical document AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur504w4)

ANSWER QUESTIONS:

1. What other subjective data would you obtain?

2. What other objective findings would you look for?

3. What diagnostic exams do you want to order?

4. Name 3 differential diagnoses based on this patient presenting symptoms?

5. Give rationales for your each differential diagnosis.

INSTRUCTIONS:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

· Please include introduction and conclusion paragraphs

· Please write in paragraph form, no bullet points

· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

· Please ensure APA formatting is correct

## image1.png

**## NUR504W4.docx**

![A screenshot of a medical document AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur504w4)

ANSWER QUESTIONS:

1. What other subjective data would you obtain?

2. What other objective findings would you look for?

3. What diagnostic exams do you want to order?

4. Name 3 differential diagnoses based on this patient presenting symptoms?

5. Give rationales for your each differential diagnosis.

INSTRUCTIONS:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

· Please include introduction and conclusion paragraphs

· Please write in paragraph form, no bullet points

· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

· Please ensure APA formatting is correct

## image1.png

November 5, 2026
[Solved] NUR601 W4

✓ Verified Academic Solution Available

Executive Solution Overview

– ## NUR601W4.docx – ## TeachingPlanexample_JanetHuxley.docx **## NUR601W4.docx** ![A screenshot of a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601-w4) ANSWER QUESTIONS ABOVE AND THE FOLLOWING: 1. Describe the relationship between culture and g…

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Assignment Prompt & Instructions

– ## NUR601W4.docx

– ## TeachingPlanexample_JanetHuxley.docx

**## NUR601W4.docx**

![A screenshot of a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601-w4)

ANSWER QUESTIONS ABOVE AND THE FOLLOWING:

1. Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.

2. Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan, you must include the home of an infant with an injury-proof environment. Note: Download and read an example teaching plan. (TEACHING PLAN TEMPLATE ATTACHED IN SEPARATE DOC)

INSTRUCTIONS:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

· Please include introduction and conclusion paragraphs

· Please write in paragraph form, no bullet points

· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

· Please ensure APA formatting is correct

## image1.png

**## TeachingPlanexample_JanetHuxley.docx**

| | | | | | |
| — | — | — | — | — | — |
| Teaching Plan |
| Objectives | Content Outline | Methods of Teaching | Time Allotted | Instructional materials | Evaluation Methods |
| Following a 20-minute teaching session, the learner will be able to:<br>List at least three examples of types of exercise that can be done outside work. (cognitive) | Examples of simple, everyday ways to increase exercise (e.g., taking stairs rather than an elevator) | 1:1 instruction | 5 minutes | “Physical Activity” poster showing practical ways to increase activity | Question and answers |
| Recognize barriers that interfere with remaining active. (affective) | Common barriers and ways to deal with them | Discussion | 5 minutes | CDC website article: “Make Your Workout Work for You” | Describes barriers and ways to avoid interference |
| Demonstrate four exercises that can be completed inside the home. (psychomotor) | How to perform sit-ups, lunges, wall sits, and using stairs | Demonstration/return demonstration | 10 minutes | Space for performing exercises | Demonstrates correct performance of each exercise |

**## TeachingPlanexample_JanetHuxley.docx**

| | | | | | |
| — | — | — | — | — | — |
| Teaching Plan |
| Objectives | Content Outline | Methods of Teaching | Time Allotted | Instructional materials | Evaluation Methods |
| Following a 20-minute teaching session, the learner will be able to:<br>List at least three examples of types of exercise that can be done outside work. (cognitive) | Examples of simple, everyday ways to increase exercise (e.g., taking stairs rather than an elevator) | 1:1 instruction | 5 minutes | “Physical Activity” poster showing practical ways to increase activity | Question and answers |
| Recognize barriers that interfere with remaining active. (affective) | Common barriers and ways to deal with them | Discussion | 5 minutes | CDC website article: “Make Your Workout Work for You” | Describes barriers and ways to avoid interference |
| Demonstrate four exercises that can be completed inside the home. (psychomotor) | How to perform sit-ups, lunges, wall sits, and using stairs | Demonstration/return demonstration | 10 minutes | Space for performing exercises | Demonstrates correct performance of each exercise |

**## NUR601W4.docx**

![A screenshot of a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601-w4)

ANSWER QUESTIONS ABOVE AND THE FOLLOWING:

1. Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.

2. Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan, you must include the home of an infant with an injury-proof environment. Note: Download and read an example teaching plan. (TEACHING PLAN TEMPLATE ATTACHED IN SEPARATE DOC)

INSTRUCTIONS:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

· Please include introduction and conclusion paragraphs

· Please write in paragraph form, no bullet points

· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

· Please ensure APA formatting is correct

## image1.png

**## TeachingPlanexample_JanetHuxley.docx**

| | | | | | |
| — | — | — | — | — | — |
| Teaching Plan |
| Objectives | Content Outline | Methods of Teaching | Time Allotted | Instructional materials | Evaluation Methods |
| Following a 20-minute teaching session, the learner will be able to:<br>List at least three examples of types of exercise that can be done outside work. (cognitive) | Examples of simple, everyday ways to increase exercise (e.g., taking stairs rather than an elevator) | 1:1 instruction | 5 minutes | “Physical Activity” poster showing practical ways to increase activity | Question and answers |
| Recognize barriers that interfere with remaining active. (affective) | Common barriers and ways to deal with them | Discussion | 5 minutes | CDC website article: “Make Your Workout Work for You” | Describes barriers and ways to avoid interference |
| Demonstrate four exercises that can be completed inside the home. (psychomotor) | How to perform sit-ups, lunges, wall sits, and using stairs | Demonstration/return demonstration | 10 minutes | Space for performing exercises | Demonstrates correct performance of each exercise |

**## NUR601W4.docx**

![A screenshot of a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601-w4)

ANSWER QUESTIONS ABOVE AND THE FOLLOWING:

1. Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.

2. Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan, you must include the home of an infant with an injury-proof environment. Note: Download and read an example teaching plan. (TEACHING PLAN TEMPLATE ATTACHED IN SEPARATE DOC)

INSTRUCTIONS:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

· Please include introduction and conclusion paragraphs

· Please write in paragraph form, no bullet points

· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

· Please ensure APA formatting is correct

## image1.png

**## TeachingPlanexample_JanetHuxley.docx**

| | | | | | |
| — | — | — | — | — | — |
| Teaching Plan |
| Objectives | Content Outline | Methods of Teaching | Time Allotted | Instructional materials | Evaluation Methods |
| Following a 20-minute teaching session, the learner will be able to:<br>List at least three examples of types of exercise that can be done outside work. (cognitive) | Examples of simple, everyday ways to increase exercise (e.g., taking stairs rather than an elevator) | 1:1 instruction | 5 minutes | “Physical Activity” poster showing practical ways to increase activity | Question and answers |
| Recognize barriers that interfere with remaining active. (affective) | Common barriers and ways to deal with them | Discussion | 5 minutes | CDC website article: “Make Your Workout Work for You” | Describes barriers and ways to avoid interference |
| Demonstrate four exercises that can be completed inside the home. (psychomotor) | How to perform sit-ups, lunges, wall sits, and using stairs | Demonstration/return demonstration | 10 minutes | Space for performing exercises | Demonstrates correct performance of each exercise |

– 1
– 2

November 5, 2026
[Solved] NUR601W4A

✓ Verified Academic Solution Available

Executive Solution Overview

– ## NUR601W4A.docx – ## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx **## NUR601W4A.docx** The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice t…

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Assignment Prompt & Instructions

– ## NUR601W4A.docx

– ## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx

**## NUR601W4A.docx**

The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

· Congestive Heart Failure

**Your study guide must include:**

· Definition, etiology

· Occurrence/epidemiology

· Clinical presentation

· Diagnostic testing

· Differential diagnosis

· Non-pharmacological and pharmacological management and follow up

· The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.

· Include your resources and guidelines used for the elaboration of the study guide.

· Cite within the text (in each section) using APA 7th edition.

· Please use the attached template below to complete your assignment. (ATTACHED IN SEPARATE DOC)

· Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

RUBRIC:

![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601w4a)

## image1.png

**## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

| | | | | |
| — | — | — | — | — |
| Intussusception |
| What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
| Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
| Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
| Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
| Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
| 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
| Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
| Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
| Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
| References |
| Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

**## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

| | | | | |
| — | — | — | — | — |
| Intussusception |
| What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
| Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
| Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
| Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
| Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
| 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
| Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
| Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
| Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
| References |
| Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

**## NUR601W4A.docx**

The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

· Congestive Heart Failure

**Your study guide must include:**

· Definition, etiology

· Occurrence/epidemiology

· Clinical presentation

· Diagnostic testing

· Differential diagnosis

· Non-pharmacological and pharmacological management and follow up

· The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.

· Include your resources and guidelines used for the elaboration of the study guide.

· Cite within the text (in each section) using APA 7th edition.

· Please use the attached template below to complete your assignment. (ATTACHED IN SEPARATE DOC)

· Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

RUBRIC:

![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601w4a)

## image1.png

**## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

| | | | | |
| — | — | — | — | — |
| Intussusception |
| What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
| Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
| Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
| Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
| Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
| 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
| Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
| Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
| Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
| References |
| Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

**## NUR601W4A.docx**

The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

· Congestive Heart Failure

**Your study guide must include:**

· Definition, etiology

· Occurrence/epidemiology

· Clinical presentation

· Diagnostic testing

· Differential diagnosis

· Non-pharmacological and pharmacological management and follow up

· The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.

· Include your resources and guidelines used for the elaboration of the study guide.

· Cite within the text (in each section) using APA 7th edition.

· Please use the attached template below to complete your assignment. (ATTACHED IN SEPARATE DOC)

· Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

RUBRIC:

![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur601w4a)

## image1.png

**## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

| | | | | |
| — | — | — | — | — |
| Intussusception |
| What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
| Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
| Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
| Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
| Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
| 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
| Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
| Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
| Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
| References |
| Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

– 1
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November 5, 2026
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November 5, 2026
[Solved] Matrix

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APA format, in-text citation, references include Fill out the Template – ## Needed.docx – ## Example.pdf – ## Template.docx – Article.pdf **## Needed.docx** **HSO:** For the duration of this course, I will focus on community hospitals, specifically those operating in rural and underserved areas. The…

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APA format, in-text citation, references include
Fill out the Template

– ## Needed.docx

– ## Example.pdf

– ## Template.docx

– Article.pdf

**## Needed.docx**

**HSO:** For the duration of this course, I will focus on community hospitals, specifically those operating in rural and underserved areas. These hospitals provide essential healthcare services such as emergency care, primary care, and outpatient services. To provide a more structured and comprehensive analysis, I will use AdventHealth Hendersonville—a rural community hospital within the broader AdventHealth system—as a representative HSO for my study. This organization has implemented telemedicine services and shares many characteristics with smaller community hospitals facing similar operational and technological challenges.

**To prepare:**

· Review the Learning Resources on constructing an internal-external matrix.

· Review the Learning Resources on synthesizing components of a SWOT analysis.

· Review the Learning Resources on strategic considerations in changing environments.

· Review both the external and internal portions of your SWOT analyses (your external factor evaluation [EFE] and your internal factor evaluation [IFE]) that you completed in previous modules. Pay close attention to any feedback your Instructor provided, and then make corrections to your IFE and EFE if needed. You will use these analyses to construct your internal-external matrix.

· Chapter 20 of your textbook explains how to create an internal-external matrix. The Application of Internal-External Matrix document also provides an example matrix and additional background information about the purpose of the matrix and the implied organizational strategies. Be sure to review both resources, and then use the Module 4 Internal-External Matrix Template to complete your own matrix and answer the associated interpretation questions.

**## Example.pdf**

Example Internal-External Matrix

The matrix below depicts an HSO with the following total factor evaluation scores:

• Total External Factor Evaluation (EFE) Score = 2.275

• Total Internal Factor Evaluation (IFE) Score = 2.400

The intersection of these scores occurs in the center cell of the matrix which is

aligned with “Hold and Maintain” organizational strategies.

Weighted IFE Score

Strong
3.0–4.0

Average
2.0–2.99

Weak
1.0–1.99

W
e

ig
h

te
d

E
F

E
S

c
o

re

H
ig

h

3
.0
–
4

.0

A A B

M
e

d
iu

m

2
.0
–
2

.9
9

A

C

L
o

w

1
.0
–
1

.9
9

B C C

Implied Strategies

A Grow and Build
Forward integration, backward integration, horizontal integration,
market development, product/service development, market
penetration

B Hold and Maintain Market penetration, product development, joint venture

C
Harvest and
Divest

Retrenchment, divesture, liquidation

2.400

2
.2

7
5

HSO

Examples of Implied Strategy Applications

The examples below describe various ways different types of HSOs might
employ the strategies outlined in the Implied Strategies Table.

Integration Strategies

• Forward integration: [Grow and Build]

o A medical practice HSO creates a transportation service to bring

customers to and from its offices.

o A community hospital HSO creates a for-profit subsidiary to enter the DME

and Pharmacy consumer market.

• Backward integration: [Grow and Build]

o A regional medical HSO creates an insurance subsidiary to facilitate

customer bonding via HMO/PPO business.

o A hospital HSO buys medical practices to actively enter the

patient/consumer [preadmission] portion of the healthcare market.

• Horizontal integration: [Grow and Build]

o One HSO system merges with or acquires another HSO system in order

to maximize the utilities of scale and scope of services.

o An insurance HSO is purchased by a regional referral medical HSO to

gain economies of scale and scope in the market.

Intensive Strategies

• Market development: [Grow and Build]

o Pricing: A durable medical equipment (DME) HSO implements a two-

tiered pricing system for cash or insurance payment.

o Distribution: A medical practice HSO signs a contract with a local high

school to provide athletic physicals and team sports coverage.

o Branding: An orthopedic medical practice HSO creates a media campaign

to identify itself as the provider of choice for runners.

o Promotion: A Level II Trauma Center HSO offers a Speaker’s Bureau for

Community Organizations to request presentations.

o Sales: A large medical HSO offers used office equipment to the public at

significant discounts.

o Product Development: A university healthcare HSO produces software

that is marketed to medical practitioners.

o Marketing: An OB/GYN HSO provides maternity and baby clothing for sale

in its offices.

o Target Market: A community hospital HSO offers a Silver Sneaker

program to seniors.

o Niche: A community, healthcare HSO offers counseling and suicide

prevention services.

o Mass Marketing: A regional referral HSO sends flyers to all community

households offering discounted preschool physicals.

• Product/service development: [Hold and Maintain]

o A community hospital HSO develops a comprehensive breast care center

as a separate building on its campus.

• Market penetration: [Hold and Maintain]

o A university affiliated hospital HSO builds and operates medical offices in
selected communities of its market.

Defensive Strategies

• Joint venture: [Hold and Maintain]
o A physician practice HSO works with a surgical equipment company to

identify new tools and techniques for open heart surgery.

• Retrenchment: [Harvest and Divest]
o A community hospital HSO closes all its outpatient clinics and reduces

overall staffing by 10%.

• Divestiture: [Harvest and Divest]
o A DME HSO sells its entire line of lift chairs to a competitive DME

business and exits that market.

• Liquidation: [Harvest and Divest}
o A parent holding company HSO sells its for-profit, real estate holding

subsidiary to a national real estate corporation.

**## Template.docx**

| | |
| — | — |
| | **Internal-External Matrix Template** |
| **Student Name:** |
| **Date:** |

**Internal-External Matrix**

| |
| — |
| **Internal-External Matrix** |

Review your external factor evaluation (EFE) and your internal factor evaluation (IFE). Ensure you incorporated all Instructor feedback and made any necessary corrections. Then, identify your EFE total score and your IFE total score.

· Use the matrix below to place your EFE total score on the vertical axis. Draw a dashed horizontal line extending from this point.

· Next, place your IFE total score on the horizontal axis. Draw a dashed vertical line extending from this point.

· At the intersection of your two dashed lines, draw a circle to represent your HSO.

| | | | | |
| — | — | — | — | — |
| | **Internal-External Matrix for (Insert your HSO’s name.)** |
| | |
| | | **Weighted IFE Score** |
| | | **Strong**<br>**3.0–4.0** | **Average**<br>**2.0–2.99** | **Weak**<br>**1.0–1.99** |
| **Weighted EFE Score** | **High**<br>**3.0–4.0** | **A** | **A** | **B** |
| | **Medium**<br>**2.0–2.99** | **A** | **B** | **C** |
| | **Low**<br>**1.0–1.99** | **B** | **C** | **C** |

| | | |
| — | — | — |
| **Implied Strategies** |
| A | Grow and Build | Forward integration, backward integration, horizontal integration, <br>market development, product/service development, market penetration |
| B | Hold and Maintain | Market penetration, product development, joint venture |
| C | Harvest and Divest | Retrenchment, divesture, liquidation |

| |
| — |
| **Internal-External Matrix Interpretation** |

· Identify the implied strategies that correspond with your HSO’s location in the matrix. Explain what they might look like at your HSO. Also explain why each strategy does or does not make intuitive sense to you based on your knowledge of your HSO and the industry. (
**Note:** The list of strategies is included above and also on page165 of your Wayland and McDonald textbook.)

· Read the following article about the need for HSO’s to pivot and adapt to constantly changing environments. Consider the ways your HSO has experienced significant environmental changes in recent years. Describe how the implied strategies from your internal-external matrix could help your HSO successfully adapt to a changing environment. In your description, explain how this adaptation could help or hinder your HSO’s adherence to its stated mission. Be sure to cite the article in your response.

· Kaplan, G. S. (2020). Defining a new leadership model to stay relevant in healthcare.
_Frontiers of Health Services Management_,
_36_(3), 12–20. https://doi.org/10.1097/HAP.0000000000000077

· Explain how the implied strategies that correspond with your HSO’s position in the internal-external matrix could inform strategic recommendations to your HSO’s leadership.

Internal-External Matrix adapted from Wayland, M. S., & McDonald, W. G. (2021).
_Strategic analysis for healthcare: Concepts and practical applications_(2nd ed., pp. 167–168). Health Administration Press.

**Article.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10355367)

**Article.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10355367)

**## Needed.docx**

**HSO:** For the duration of this course, I will focus on community hospitals, specifically those operating in rural and underserved areas. These hospitals provide essential healthcare services such as emergency care, primary care, and outpatient services. To provide a more structured and comprehensive analysis, I will use AdventHealth Hendersonville—a rural community hospital within the broader AdventHealth system—as a representative HSO for my study. This organization has implemented telemedicine services and shares many characteristics with smaller community hospitals facing similar operational and technological challenges.

**To prepare:**

· Review the Learning Resources on constructing an internal-external matrix.

· Review the Learning Resources on synthesizing components of a SWOT analysis.

· Review the Learning Resources on strategic considerations in changing environments.

· Review both the external and internal portions of your SWOT analyses (your external factor evaluation [EFE] and your internal factor evaluation [IFE]) that you completed in previous modules. Pay close attention to any feedback your Instructor provided, and then make corrections to your IFE and EFE if needed. You will use these analyses to construct your internal-external matrix.

· Chapter 20 of your textbook explains how to create an internal-external matrix. The Application of Internal-External Matrix document also provides an example matrix and additional background information about the purpose of the matrix and the implied organizational strategies. Be sure to review both resources, and then use the Module 4 Internal-External Matrix Template to complete your own matrix and answer the associated interpretation questions.

**## Example.pdf**

Example Internal-External Matrix

The matrix below depicts an HSO with the following total factor evaluation scores:

• Total External Factor Evaluation (EFE) Score = 2.275

• Total Internal Factor Evaluation (IFE) Score = 2.400

The intersection of these scores occurs in the center cell of the matrix which is

aligned with “Hold and Maintain” organizational strategies.

Weighted IFE Score

Strong
3.0–4.0

Average
2.0–2.99

Weak
1.0–1.99

W
e

ig
h

te
d

E
F

E
S

c
o

re

H
ig

h

3
.0
–
4

.0

A A B

M
e

d
iu

m

2
.0
–
2

.9
9

A

C

L
o

w

1
.0
–
1

.9
9

B C C

Implied Strategies

A Grow and Build
Forward integration, backward integration, horizontal integration,
market development, product/service development, market
penetration

B Hold and Maintain Market penetration, product development, joint venture

C
Harvest and
Divest

Retrenchment, divesture, liquidation

2.400

2
.2

7
5

HSO

Examples of Implied Strategy Applications

The examples below describe various ways different types of HSOs might
employ the strategies outlined in the Implied Strategies Table.

Integration Strategies

• Forward integration: [Grow and Build]

o A medical practice HSO creates a transportation service to bring

customers to and from its offices.

o A community hospital HSO creates a for-profit subsidiary to enter the DME

and Pharmacy consumer market.

• Backward integration: [Grow and Build]

o A regional medical HSO creates an insurance subsidiary to facilitate

customer bonding via HMO/PPO business.

o A hospital HSO buys medical practices to actively enter the

patient/consumer [preadmission] portion of the healthcare market.

• Horizontal integration: [Grow and Build]

o One HSO system merges with or acquires another HSO system in order

to maximize the utilities of scale and scope of services.

o An insurance HSO is purchased by a regional referral medical HSO to

gain economies of scale and scope in the market.

Intensive Strategies

• Market development: [Grow and Build]

o Pricing: A durable medical equipment (DME) HSO implements a two-

tiered pricing system for cash or insurance payment.

o Distribution: A medical practice HSO signs a contract with a local high

school to provide athletic physicals and team sports coverage.

o Branding: An orthopedic medical practice HSO creates a media campaign

to identify itself as the provider of choice for runners.

o Promotion: A Level II Trauma Center HSO offers a Speaker’s Bureau for

Community Organizations to request presentations.

o Sales: A large medical HSO offers used office equipment to the public at

significant discounts.

o Product Development: A university healthcare HSO produces software

that is marketed to medical practitioners.

o Marketing: An OB/GYN HSO provides maternity and baby clothing for sale

in its offices.

o Target Market: A community hospital HSO offers a Silver Sneaker

program to seniors.

o Niche: A community, healthcare HSO offers counseling and suicide

prevention services.

o Mass Marketing: A regional referral HSO sends flyers to all community

households offering discounted preschool physicals.

• Product/service development: [Hold and Maintain]

o A community hospital HSO develops a comprehensive breast care center

as a separate building on its campus.

• Market penetration: [Hold and Maintain]

o A university affiliated hospital HSO builds and operates medical offices in
selected communities of its market.

Defensive Strategies

• Joint venture: [Hold and Maintain]
o A physician practice HSO works with a surgical equipment company to

identify new tools and techniques for open heart surgery.

• Retrenchment: [Harvest and Divest]
o A community hospital HSO closes all its outpatient clinics and reduces

overall staffing by 10%.

• Divestiture: [Harvest and Divest]
o A DME HSO sells its entire line of lift chairs to a competitive DME

business and exits that market.

• Liquidation: [Harvest and Divest}
o A parent holding company HSO sells its for-profit, real estate holding

subsidiary to a national real estate corporation.

**## Template.docx**

| | |
| — | — |
| | **Internal-External Matrix Template** |
| **Student Name:** |
| **Date:** |

**Internal-External Matrix**

| |
| — |
| **Internal-External Matrix** |

Review your external factor evaluation (EFE) and your internal factor evaluation (IFE). Ensure you incorporated all Instructor feedback and made any necessary corrections. Then, identify your EFE total score and your IFE total score.

· Use the matrix below to place your EFE total score on the vertical axis. Draw a dashed horizontal line extending from this point.

· Next, place your IFE total score on the horizontal axis. Draw a dashed vertical line extending from this point.

· At the intersection of your two dashed lines, draw a circle to represent your HSO.

| | | | | |
| — | — | — | — | — |
| | **Internal-External Matrix for (Insert your HSO’s name.)** |
| | |
| | | **Weighted IFE Score** |
| | | **Strong**<br>**3.0–4.0** | **Average**<br>**2.0–2.99** | **Weak**<br>**1.0–1.99** |
| **Weighted EFE Score** | **High**<br>**3.0–4.0** | **A** | **A** | **B** |
| | **Medium**<br>**2.0–2.99** | **A** | **B** | **C** |
| | **Low**<br>**1.0–1.99** | **B** | **C** | **C** |

| | | |
| — | — | — |
| **Implied Strategies** |
| A | Grow and Build | Forward integration, backward integration, horizontal integration, <br>market development, product/service development, market penetration |
| B | Hold and Maintain | Market penetration, product development, joint venture |
| C | Harvest and Divest | Retrenchment, divesture, liquidation |

| |
| — |
| **Internal-External Matrix Interpretation** |

· Identify the implied strategies that correspond with your HSO’s location in the matrix. Explain what they might look like at your HSO. Also explain why each strategy does or does not make intuitive sense to you based on your knowledge of your HSO and the industry. (
**Note:** The list of strategies is included above and also on page165 of your Wayland and McDonald textbook.)

· Read the following article about the need for HSO’s to pivot and adapt to constantly changing environments. Consider the ways your HSO has experienced significant environmental changes in recent years. Describe how the implied strategies from your internal-external matrix could help your HSO successfully adapt to a changing environment. In your description, explain how this adaptation could help or hinder your HSO’s adherence to its stated mission. Be sure to cite the article in your response.

· Kaplan, G. S. (2020). Defining a new leadership model to stay relevant in healthcare.
_Frontiers of Health Services Management_,
_36_(3), 12–20. https://doi.org/10.1097/HAP.0000000000000077

· Explain how the implied strategies that correspond with your HSO’s position in the internal-external matrix could inform strategic recommendations to your HSO’s leadership.

Internal-External Matrix adapted from Wayland, M. S., & McDonald, W. G. (2021).
_Strategic analysis for healthcare: Concepts and practical applications_(2nd ed., pp. 167–168). Health Administration Press.

**Article.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10355367)

**## Needed.docx**

**HSO:** For the duration of this course, I will focus on community hospitals, specifically those operating in rural and underserved areas. These hospitals provide essential healthcare services such as emergency care, primary care, and outpatient services. To provide a more structured and comprehensive analysis, I will use AdventHealth Hendersonville—a rural community hospital within the broader AdventHealth system—as a representative HSO for my study. This organization has implemented telemedicine services and shares many characteristics with smaller community hospitals facing similar operational and technological challenges.

**To prepare:**

· Review the Learning Resources on constructing an internal-external matrix.

· Review the Learning Resources on synthesizing components of a SWOT analysis.

· Review the Learning Resources on strategic considerations in changing environments.

· Review both the external and internal portions of your SWOT analyses (your external factor evaluation [EFE] and your internal factor evaluation [IFE]) that you completed in previous modules. Pay close attention to any feedback your Instructor provided, and then make corrections to your IFE and EFE if needed. You will use these analyses to construct your internal-external matrix.

· Chapter 20 of your textbook explains how to create an internal-external matrix. The Application of Internal-External Matrix document also provides an example matrix and additional background information about the purpose of the matrix and the implied organizational strategies. Be sure to review both resources, and then use the Module 4 Internal-External Matrix Template to complete your own matrix and answer the associated interpretation questions.

**## Example.pdf**

Example Internal-External Matrix

The matrix below depicts an HSO with the following total factor evaluation scores:

• Total External Factor Evaluation (EFE) Score = 2.275

• Total Internal Factor Evaluation (IFE) Score = 2.400

The intersection of these scores occurs in the center cell of the matrix which is

aligned with “Hold and Maintain” organizational strategies.

Weighted IFE Score

Strong
3.0–4.0

Average
2.0–2.99

Weak
1.0–1.99

W
e

ig
h

te
d

E
F

E
S

c
o

re

H
ig

h

3
.0
–
4

.0

A A B

M
e

d
iu

m

2
.0
–
2

.9
9

A

C

L
o

w

1
.0
–
1

.9
9

B C C

Implied Strategies

A Grow and Build
Forward integration, backward integration, horizontal integration,
market development, product/service development, market
penetration

B Hold and Maintain Market penetration, product development, joint venture

C
Harvest and
Divest

Retrenchment, divesture, liquidation

2.400

2
.2

7
5

HSO

Examples of Implied Strategy Applications

The examples below describe various ways different types of HSOs might
employ the strategies outlined in the Implied Strategies Table.

Integration Strategies

• Forward integration: [Grow and Build]

o A medical practice HSO creates a transportation service to bring

customers to and from its offices.

o A community hospital HSO creates a for-profit subsidiary to enter the DME

and Pharmacy consumer market.

• Backward integration: [Grow and Build]

o A regional medical HSO creates an insurance subsidiary to facilitate

customer bonding via HMO/PPO business.

o A hospital HSO buys medical practices to actively enter the

patient/consumer [preadmission] portion of the healthcare market.

• Horizontal integration: [Grow and Build]

o One HSO system merges with or acquires another HSO system in order

to maximize the utilities of scale and scope of services.

o An insurance HSO is purchased by a regional referral medical HSO to

gain economies of scale and scope in the market.

Intensive Strategies

• Market development: [Grow and Build]

o Pricing: A durable medical equipment (DME) HSO implements a two-

tiered pricing system for cash or insurance payment.

o Distribution: A medical practice HSO signs a contract with a local high

school to provide athletic physicals and team sports coverage.

o Branding: An orthopedic medical practice HSO creates a media campaign

to identify itself as the provider of choice for runners.

o Promotion: A Level II Trauma Center HSO offers a Speaker’s Bureau for

Community Organizations to request presentations.

o Sales: A large medical HSO offers used office equipment to the public at

significant discounts.

o Product Development: A university healthcare HSO produces software

that is marketed to medical practitioners.

o Marketing: An OB/GYN HSO provides maternity and baby clothing for sale

in its offices.

o Target Market: A community hospital HSO offers a Silver Sneaker

program to seniors.

o Niche: A community, healthcare HSO offers counseling and suicide

prevention services.

o Mass Marketing: A regional referral HSO sends flyers to all community

households offering discounted preschool physicals.

• Product/service development: [Hold and Maintain]

o A community hospital HSO develops a comprehensive breast care center

as a separate building on its campus.

• Market penetration: [Hold and Maintain]

o A university affiliated hospital HSO builds and operates medical offices in
selected communities of its market.

Defensive Strategies

• Joint venture: [Hold and Maintain]
o A physician practice HSO works with a surgical equipment company to

identify new tools and techniques for open heart surgery.

• Retrenchment: [Harvest and Divest]
o A community hospital HSO closes all its outpatient clinics and reduces

overall staffing by 10%.

• Divestiture: [Harvest and Divest]
o A DME HSO sells its entire line of lift chairs to a competitive DME

business and exits that market.

• Liquidation: [Harvest and Divest}
o A parent holding company HSO sells its for-profit, real estate holding

subsidiary to a national real estate corporation.

**## Template.docx**

| | |
| — | — |
| | **Internal-External Matrix Template** |
| **Student Name:** |
| **Date:** |

**Internal-External Matrix**

| |
| — |
| **Internal-External Matrix** |

Review your external factor evaluation (EFE) and your internal factor evaluation (IFE). Ensure you incorporated all Instructor feedback and made any necessary corrections. Then, identify your EFE total score and your IFE total score.

· Use the matrix below to place your EFE total score on the vertical axis. Draw a dashed horizontal line extending from this point.

· Next, place your IFE total score on the horizontal axis. Draw a dashed vertical line extending from this point.

· At the intersection of your two dashed lines, draw a circle to represent your HSO.

| | | | | |
| — | — | — | — | — |
| | **Internal-External Matrix for (Insert your HSO’s name.)** |
| | |
| | | **Weighted IFE Score** |
| | | **Strong**<br>**3.0–4.0** | **Average**<br>**2.0–2.99** | **Weak**<br>**1.0–1.99** |
| **Weighted EFE Score** | **High**<br>**3.0–4.0** | **A** | **A** | **B** |
| | **Medium**<br>**2.0–2.99** | **A** | **B** | **C** |
| | **Low**<br>**1.0–1.99** | **B** | **C** | **C** |

| | | |
| — | — | — |
| **Implied Strategies** |
| A | Grow and Build | Forward integration, backward integration, horizontal integration, <br>market development, product/service development, market penetration |
| B | Hold and Maintain | Market penetration, product development, joint venture |
| C | Harvest and Divest | Retrenchment, divesture, liquidation |

| |
| — |
| **Internal-External Matrix Interpretation** |

· Identify the implied strategies that correspond with your HSO’s location in the matrix. Explain what they might look like at your HSO. Also explain why each strategy does or does not make intuitive sense to you based on your knowledge of your HSO and the industry. (
**Note:** The list of strategies is included above and also on page165 of your Wayland and McDonald textbook.)

· Read the following article about the need for HSO’s to pivot and adapt to constantly changing environments. Consider the ways your HSO has experienced significant environmental changes in recent years. Describe how the implied strategies from your internal-external matrix could help your HSO successfully adapt to a changing environment. In your description, explain how this adaptation could help or hinder your HSO’s adherence to its stated mission. Be sure to cite the article in your response.

· Kaplan, G. S. (2020). Defining a new leadership model to stay relevant in healthcare.
_Frontiers of Health Services Management_,
_36_(3), 12–20. https://doi.org/10.1097/HAP.0000000000000077

· Explain how the implied strategies that correspond with your HSO’s position in the internal-external matrix could inform strategic recommendations to your HSO’s leadership.

Internal-External Matrix adapted from Wayland, M. S., & McDonald, W. G. (2021).
_Strategic analysis for healthcare: Concepts and practical applications_(2nd ed., pp. 167–168). Health Administration Press.

**Article.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/article-pdf-10355367)

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