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Care expressed and practiced in professional nursing models provides a way of looking at the nursing role from the aspect of care. It may seem excessive to consider aspects of caring and compassion in nursing. However, precisely because it IS nursing makes it crucial to our continual progress of defining and upholding one of our central professional principles.

Address each of these items:

Reflect on a caring and compassionate experience with a patient or family encountered in your practice.
How was your compassion demonstrated?
What other ways do you wish you would have expressed caring?
How does your thinking about compassion expand to include self and colleagues?

Their unique perspective
Strengths and skills that will be useful to project
What training will they need to become a stronger team member
What is one action you could take that would encourage this person to act?
How will you, as the leader, build collaborative relationships with your team?
What do you need to do in order to improve how you can enable others to act?

These questions will help you write your vision statement which will be included in the final presentation.

Their unique perspective
Strengths and skills that will be useful to project
What training will they need to become a stronger team member
What is one action you could take that would encourage this person to act?
How will you, as the leader, build collaborative relationships with your team?
What do you need to do in order to improve how you can enable others to act?

The NAFTA Tomato Wars
When the North America Free Trade Agreement (NAFTA) went into effect in December 1992 and tariffs on imported tomatoes were dropped, U.S. tomato producers in Florida feared that they would lose business to lower-cost producers in Mexico. So they lobbied the government to set a minimum floor price for tomatoes imported from Mexico. The idea was to stop Mexican producers from cutting prices below the floor to gain share in the U.S. market. In 1996, the United States and Mexico agreed on a basic floor price of 21.69 cents a pound.

At the time, both sides declared themselves to be happy with the deal. As it turns out, the deal didnt offer much protection for U.S. tomato growers. In 1992, the year before NAFTA was passed, Mexican producers exported 800 million pounds of tomatoes to the United States. By 2011, they were exporting 2.8 billion pounds of tomatoes, an increase of 3.5-fold. The value of Mexican tomato exports almost tripled over the same period, to $2 billion. In contrast, tomato production in Florida has fallen by 41 percent since NAFTA went into effect. Florida growers complained that they could not compete against low wages and lax environmental oversight in Mexico. They also alleged that Mexican growers were dumping tomatoes in the U.S. market at below the cost of production, with the goal of driving U.S. producers out of business.

In 2012, Florida growers petitioned the U.S. Department of Commerce to scrap the 1996 minimum price agreement, which would then free them up to file an antidumping case against Mexican producers. In September 2012, the Commerce Department announced a preliminary decision to scrap the agreement. At first glance, it looked as if the Florida growers were going to get their way. It soon became apparent, however, that the situation was more complex than appeared at first glance. More than 370 business and trade groups in the United Statesfrom small family-run importers to meat and vegetable producers and Wal-Mart Storeswrote or signed letters to the Commerce Department in favor of continuing the 1996 agreement.

Among the letter writers was Kevin Ahern, the CEO of Ahern Agribusiness in San Diego. His company sells about $20 million a year in tomato seeds and transplants to Mexican farmers. In a letter sent to The New York Times, Ahern noted that yes, Mexico produces their tomatoes on average at a lower cost than Florida; thats what we call competitive advantage. Without the agreement Ahern claimed that his business would suffer. Another U.S. company, NatureSweet Ltd., grows cherry and grape tomatoes under 1,200 acres of greenhouses in Mexico for the American market. It employs 5,000 people, although all but 100 work in Mexico. The CEO, Bryant Ambelang, said that his company couldnt survive without NAFTA. In his view, Mexican-grown tomatoes were more competitive because of lower labor costs, good weather, and more than a decade of investment in greenhouse technology. In a similar vein, Scott DeFife, a representative of the U.S. National Restaurant Association, stated, people want tomato-based dishes all the time. . . . You plan over the course of the year where you are going to get your supply in the winter, spring, fall. Without tomatoes from Mexico, a winter freeze in Florida, for example, would send prices shooting up, he said.

Faced with a potential backlash from U.S. importers, and from U.S. producers with interests in Mexico, the Commerce Department pulled back from its initial conclusion that the agreement should be scrapped. Instead, in early 2013, it reached an agreement with Mexican growers to raise the minimum floor price from 21.69 cents a pound to 31 cents a pound. The new agreement also established even higher prices for specialty tomatoes and tomatoes grown in controlled environments. This was clearly aimed at Mexican growers, who have invested billions to grow tomatoes in greenhouses. Florida tomatoes are largely picked green and treated with gas to change their color.
Page 620
Sources: E. Malkin, Mexico Finds Unlikely Allies in Trade Fight, The New York Times, December 25, 2012, p. B1; S. Strom, United States and Mexico Reach Tomato Deal, Averting a Trade War, The New York Times, February 3, 2013; J. Margolis, NAFTA 20 Years After: Floridas Tomato Growers Struggling, The World, December 1, 2012.

Case Discussion Questions
Was the establishment of a minimum floor price for tomatoes consistent with the free trade principles enshrined in the NAFTA agreement?
Why, despite the establishment of a minimum floor price, have imports from Mexico grown over the years?
Who benefits from the importation of tomatoes grown in Mexico? Who suffers?
Do you think that Mexican producers were dumping tomatoes in the United States?
Was the Commerce Department right to establish a new minimum floor price rather than scrap the agreement and file an antidumping suit? Who would have benefited from an antidumping suit against Mexican tomato producers? Who would have suffered?
What do you think will be the impact of the new higher floor price? Who benefits from the higher floor price? Who suffers?
What do you think is the optimal government policy response here? Explain your answer.

Now that you know more about the different components of the health care system and the concept of a Primary Care Medical Home, I would like you to think about how all of the pieces work together. Read the following case scenario.

Case Scenario: A 67 year old widower with heart failure, diabetes, and chronic kidney disease was taken by ambulance to the emergency room for pneumonia. He was hospitalized for 10 days and needed one month of rehabilitation before going home. Once home he needed additional assistance for one month until he eventually was able to live on his own without assistance.

Answer these questions based upon the scenario:

1. Identify as many health care providers (at least 4) AND allied health care professionals (paramedics, aids, etc.) [at least 10] as you can that likely worked with this man over the past six months (before, during, and after his hospitalization). Hint: There could be dozens of different people. Note: Do not simply provide a bulleted list of job positions. Discuss when they become involved.

2. What might have been done prior to his hospitalization that could have prevented his hospitalization?

3. What should be put in place to prevent a readmission to the hospital?

4. Use this weeks assigned reading to help define the term “Medical home

Describe all epithelial tissues, including cell shape, layers, locations, and functions of each type.
Describe the different types of cell junctions and provide examples of each type.
Explain the functions of cell junctions, provide examples.
Describe all connective tissues, including cell shape, layers, locations, and functions of each type.
What is the cell matrix when referring to connective tissues?
Describe all muscle tissues, including cell shape, and layers, functions, and provide examples of locations for each type.
Describe the unique intercellular connections between muscle cells.
Describe a neuron, and provide the different types of cellular organelles, and cell junctions associated with a neuron.
Provide functions for the 6 different types of neuroglial cells.
Describe the main structural features of the epidermis and explain the functional significance of each.
Explain what accounts for individual differences in skin color and compare basal cell carcinoma with malignant melanoma.
Describe the structure and functions of the dermis and hypodermis.
Summarize the effects of aging on the skin.
Describe the interaction between sunlight and endocrine functioning as they relate to the skin.
Why is the interaction of UV light on the skin so important to the synthesis of Vitamin D?
Describe the functions of Vitamin D.
Explain how the skin responds to injury and is able to repair itself. Provide the steps in skin repair.
Describe the three major types of skin cancer.
Explain and list the ABCDE rule of skin cancer.
Explain and list the 4 different types of skin burns, the level of skin affected, and the prognosis.

Research the innovation architecture of at least three companies that are well-known for successfully supporting a culture of innovation that addresses the following:

1. What particular elements of each organizations culture, processes, and management systems and styles work well to support innovation?

2. Why do you think these organizations have been able to capitalize on innovation and intrapreneurship while others have not?

3. Based on what you have learned, what processes and systems might actually stifle innovation and intrapreneurship?

4. Imagine yourself as an innovation architect. What structures or processes would you put in place to foster a culture of innovation within your own organization?

Before lab:
1- Lab manual is attached- read pages 23-29
2-Short film related to the lab:

Video is about-> sickle cell disease is caused by a mutation in the gene that encodes hemoglobin.
Hemoglobin, a protein found in red blood cells, transports oxygen throughout the body. Individuals who are
homozygous for the normal hemoglobin allele are designated AA. Individuals who receive one normal hemoglobin
allele from one parent and one mutant hemoglobin, or sickle cell, allele from the other parent are heterozygous and
said to have sickle cell trait. Their genotype is AS. People with sickle cell disease are homozygous for the sickle cell
allele (SS genotype).

Lab:
1-Worksheet:
Use this worksheet to investigate population genetics, the Hardy-Weinberg principle, and how natural selection alters the frequency distribution of heritable traits. Rather than use beads as described on the worksheet, we will be using a random number generator in Excel.
Worksheet with procedure for Simulating Natural Selection and the heterozygote advantage (with questions)

2-Spreadsheet with random number generator (includes multiple tabs, 1 for each simulation) attached
-After completing the simulations, create 3 bar graphs (one for each simulation), with the y-axis as the genotypic frequencies and bars representing each genotype of each generation.
-Paste a copy of your final graphs (with appropriate labels) into the worksheet.

Part 2 of the worksheet: Genetic Drift
For this activity, you can follow the procedure as outlined on page 28 of your lab manual. The only difference is you will be using the Lab 3_spreadsheet to use a random number generate instead of throwing a die.

Write a Response Paper on A Peoples History of the United States by Howard Zinn.

Organizational structure delineates the work of the organization including chain of command, authority, and the formal communication network. A professional practice model is a guiding theoretical and conceptual framework that provides the foundation for nursing professional practice within an organization.

In a discussion board post:
Describe the structure of your organization (functional, matrix, parallel).
What professional practice model is in place?
Does the practice model work well within the organizations structure?
How is evidence-based practice integrated into the practice model? Provide specific examples and rationale.

No direct quotes are allowed in the discussion board post

Textbooks:

Effective Leadership and Management in Nursing by Eleanor J. Sullivan (2017) Chapters 2, 3, 6