Module 5: Pharmaceutical Treatment Of Respiratory And Cardiovascular Disorders – 2025 Create a presentation addressing all of the following topics For each of the following medications discuss mechanism of action causes

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Module 5: Pharmaceutical Treatment Of Respiratory And Cardiovascular Disorders – 2025

Create a presentation addressing all of the following topics:

  • For each of the following medications discuss mechanism of action, causes and consequences of noncompliance, and possible solutions for noncompliance.
    • Lasix
    • beta blockers
    • diltiazem
    • digoxin
  • Choose four medications that might be used for the treatment of heart failure. Discuss the pathophysiologic mechanism of action for each medication, along with side effects and interactions. What are the consequences of noncompliance with treatment regimens and what patient education is needed?
  • In commercials for inhalers containing salmeterol, there is often a warning that it can increase the risk of asthma-related death. Why is this true and how does it happen? Why is this warning heard in commercials for all medications containing salmeterol? What patient education is necessary when prescribing salmeterol inhalers?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides (maximum of 30 slides), including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use the audio recording feature with the presentation software. Use at least four scholarly sources and make certain to review the module’s rubric before starting your presentation.

Nursing Leadership And Management DQ # 8 – 2025 Please answer the following questions an include the questions in the Paper APA STYLE

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Nursing Leadership And Management DQ # 8 – 2025

 Please answer the following questions an include the questions in the Paper. APA STYLE . Less than 10 % similarity. 

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

5. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

a)-What does the organization/agency do that supports the hallmarks of quality? •

b)-What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

c)-How has the organization/agency affected facilities where you are practicing and your own professional practice?

Culture In Nursing DQ 8 Student Reply Martha Gomez – 2025 APA STYLE lESS THAN 10 SIMILARITY The following post is another student

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Culture In Nursing DQ 8 Student Reply Martha Gomez – 2025

 

APA STYLE.  lESS THAN 10% SIMILARITY. 

The following post is another student post to wish i have to react. Please add some extra imformation relate to what the student post. 

 

Transcultural Perspectives in Older Adults’ Care

Question 1

In developing a home care plan for a chronically ill 82 years old man living in a single-room hotel, the nurse must assess and consider a number of factors. The factors that the nurse must consider include resources available to the patient, their needs and limitations that would affect care while living at home. First, the nurse should assess the cultural values practices and availability of community resources. The presence or absence of formal and informal resources in the city will influence the client’s access to healthcare services. Cultural values such as those influencing the patient’s typical family structure will also affect their access to care. For example, Hispanic families tend to live together which means the sick and the elderly can be taken care of by members of the extended family (Miyawaki, 2016). The nurse should also consider social economic factors that affect access of the patient to care. It is important to understand whether the patient has enough money to sustain him at the hotel room and cater for health needs. For example, the nurse should assess whether the patient can afford home care services for his condition.

The nurse should assess resources based on the needs and limitations of the patient. The needs of the patient determine the type of resources and help that should be available to them. The nurse should assess both the healthcare and social needs and understand how they maybe affected by culture. For example, a diabetic patient may need access to a pharmacy or clinic where he can get insulin shots. Logistical factors such as transportation and language interact to determine access to healthcare by an elderly person. For example, the patient may need emergency treatment while staying at the hotel. The nurse should hence consider the presence of emergency transport or care in around the hotel. Cultural limitations may also affect the access to care for the patient while staying at the hospital. For example, among African American cultures, an elderly male should be taken care of by a male care taker (Bamidele et a., 2019). In such a case, the patient maybe limited if there are no male caretakers in the hotel.

Question 2

In conducting health assessment in order to develop a culturally appropriate care plan for Filipino and Chinese American clients, there are several key sets of information that a nurse should collect. First, the nurse must assess the influences of culture on how the people view aging.  For example, cultural differences may define need for help among the elder (Andres & Bolye, 2016). Culture also determines whether an old person seeks traditional healthcare practice or family remedies. For example, among the Chinese there is a simultaneous use of western and traditional health practices such as focusing on the restoration or harmony and balance between the body and spirit (Andres & Bolye, 2016). A nurse should seek to establish whether the patient uses traditional healthcare practices as a result of cultural preference or due to inadequate access to biomedical therapy. Another factor to consider in the assessment is the cultural values in regard to family. Chinese and Filipino tend to live in a family setting made of nuclear and extended families rather than isolated (Miyawaki, 2016). As such, the nurse should enquire about the living situation at home. Unlike non-Hispanic whites, Filipino and Chinese elderly may prefer to live at home with their families than in a home for the elder. Also, due to the relatively limited numbers of Filipinos in the US, a nurse must also seek to understand the patient’s preferences in environment for care. For example, the nurse may try to connect the old adult with other people from his home country. In this case, an understanding of logistics such as the ability to make it to the venue for meeting is relevant.

Question 3

In acute care setting, nurses should understand that the patient’s view of illnesses are influenced by their cultural background. For example, pain is experienced based on the cultural experiences. As such, the nurses should assess each patient’s pain tolerance, past and present experience with pain, effect of pain on their quality of life, and their understanding of what pain means (Andres & Bolye, 2016). The nurses should also assess the patient’s expectations for the treatment of the pain. In the subacute unit, the nurses should seek to understand types of treatment that patients expect for management of pain. Patients may prefer traditional methods for the management of pain which would inform the nurse on the treatment modality to use. For example, Chinese people often prefer massage therapy to pharmacological methods of pain relief (Zhang et al., 2017). After proper assessment, the nurse may opt to integrate the preferred remedies of pain with western medicine to obtain optimum result. However, it is only through proper consultation with the patient that a quality option can be acquired. As such, the nurse manager should impart the skills for assessment of cultural based experience of disease and pain to effectively produce quality result in the subacute care.

References

Andres, A.M. & Bolye, J.S. (2016).  Transcultural Concepts in Nursing Care (7th ed.).  ISBN 978-1-4511-9397-8

Bamidele, O., Lagan, B. M., McGarvey, H., Wittmann, D., & McCaughan, E. (2019). “… It might not have occurred to my husband that this woman, his wife who is taking care of him has some emotional needs as well…”: the unheard voices of partners of Black African and Black Caribbean men with prostate cancer. Supportive Care in Cancer, 27(3), 1089-1097.

Miyawaki, C. E. (2016). Caregiving practice patterns of Asian, Hispanic, and non-Hispanic white American family caregivers of older adults across generations. Journal of cross-cultural gerontology, 31(1), 35-55.

Zhang, B., Xu, H., Wang, J., Liu, B., & Sun, G. (2017). A narrative review of non-operative treatment, especially traditional Chinese medicine therapy, for lumbar intervertebral disc herniation. Bioscience trends, 11(4), 406-417.

Culture In Nursing DQ 8 Student Reply Vanessa Camano – 2025 APA STYLE lESS THAN 10 SIMILARITY The following post is another student post to wish i have to react

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Culture In Nursing DQ 8 Student Reply Vanessa Camano – 2025

 

APA STYLE.  lESS THAN 10% SIMILARITY. 

The following post is another student post to wish i have to react. Please add some extra imformation relate to what the student post. 

  

Developing a care plan for the elderly

A good care plan is usually developed in consultation with the elderly patient, their doctor and any family members the patient might have. In order to make an effective care plan, it is important to request access to the patient’s medical documents in order to understand their medical condition and needs. Older patients often suffer from multiple chronic conditions and one would need to understand each of them and how they are likely to progress over time. It is important that one speaks to the doctor, in addition to the medical documents and make a list of medications which need to be taken on a daily basis and how they should be administered.

Another key consideration is the nutritional and physical needs of the patient. The care plan should take note of whether the patient may need assistance for example in going to the washroom, grooming or even eating and whether the patient’s home is well equipped and if there needs to be any modifications made to ensure that the patient is comfortable (Potter, 2020). In the current scenario, the patient, his stay in a single-room occupancy in a hotel will need adjustments.

The patient would similarly need emotional and psychological support. This is essential for the patient and in this case, since the patient most likely lives alone, it would be important to try and enquire whether the patient has any relatives that may be reachable. If none is available, it would be important to consider being a companion to the patient.

Moreover, in taking care of patients, it is important for their quality of life and relationships to be maintained if not improved. Growing older often comes with feeling like a burden and insecure since they lose most of their independence. This might lead them to depression which may hamper their recovery. It is important to understand what one can do to continue to give the patient the normalcy and ability to grow their interests. One may consider inquiring whether the patient may be interested in taking various classes. 

To ensure the efficiency of the care plan, it is important for a nurse to create a contingency plan which can be done through consulting with the doctor or any relatives the patient may have in order to develop a list of possible risk factors which might occur. This would enable one to work out a step by step response plan for each situation. In addition to the contingency, it is important to consider multiple care options for example since the patient has a chronic condition is really old, mobility may be an issue and it is important to consider engaging a home care assistant.

Culturally appropriate care for the old

A culturally sensitive care approach to elderly care helps to promote independence and strengthens health strategies among the elderly. The provision of culturally competent care can improve the quality and health outcomes and helps reduce the elimination of health disparities. In order to ensure cultural competence is incorporated in the health care system, health professionals need to be taught how to provide services in a culturally competent manner (Ceullar, 2015). 

A number of approaches may be adopted, however, it is important to avoid stereotyping since this may lead to ignoring variations that may exist within a group. One of the tools that may be adopted by health care professionals in assessing the cultural competences is through examining the literacy levels. This will be able to identify any language barriers that may exist between the patient and care giver. It is also important to also find out the traditional beliefs of the patient in question including the origins of illnesses, health risks, culture-specific remedies and their stance on the use of health care services. The collection of such information from patients should be done on a case to case basis to ensure everyone is well accommodated. 

Cultural assessment

Many healthcare professionals in these current times are concerned with providing culturally sensitive care. Information obtained from a cultural assessment will thus help the patient and nurse to formulate a mutually acceptable and culturally responsive treatment plan. 

In conducting cultural assessment, it is important that the patient’s right to have their cultural beliefs, practices are understood and respected. The first step is to learn about the patient in terms of the patient’s unique culture. One may consider finding out what the patient think is the cause of the problem and what kind of treatment or results the patient hopes to get (Rittle, 2015). These questions will enable one to obtain valuable information needed for a teaching plan.

The next step is to determine how embedded the patient is to their culture for example whether there are any traditional dietary habits and whether the patient uses folk medicine. This helps the nurse to know where to start negotiations with the patient and their family to achieve health care goals (Rittle, 2015).

References

Ceullar, N. G. (2015). Proving Culturalluy Congurent   Health Care to Older Adults. Sage Journals.

Potter, P. A. (2020). Fundamentals of Nursing .   Elsevier Health Sciences.

Rittle, C. (2015). Multicultural Nursing: Providing Better   Employee Care. Sage Journals.

Practicum: Evidence-Based Practice And Evaluation Of The Project Through Measureable Goals – 2025 APA format 3 paragraph Read all Instructions Age group 40 60 with uncontrolled Blood

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Practicum: Evidence-Based Practice And Evaluation Of The Project Through Measureable Goals – 2025

APA format. 3 paragraph Read all Instructions. Age group 40-60  with uncontrolled Blood pressure in poor population 

Please discuss the following points in your Practicum Discussion:

1.Identify one evidence-based behavior change that would promote health in your selected population.

2.Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.

3.Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.

References

Required Readings

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.
Chapter 15, “Evidence-Based Practice” (pp. 342–354)
Chapter 23, “Public Health Nursing Practice and the Disaster Management Cycle” (pp. 503–528)
Chapter 24, “Public Health Surveillance and Outbreak Investigation” (pp. 529–544)
Chapter 25, “Program Management” (pp. 545–567)
 

Required Media

Laureate Education (Producer). (2009a). Family, community and population-based care: Emergency preparedness and disaster response in community health nursing [Video file]. Baltimore, MD: Author.
 

Assignment: Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory – 2025 In a 1 to 2 page paper address the following Briefly describe how cognitive

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Assignment: Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory – 2025

 

In a 1- to 2-page paper, address the following:

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
  • Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

 All papers submitted include a title page, introduction, summary, and references. 

Response#2 – 2025 Respond to your colleagues by explaining how the leadership skills they described may impact your organization or your personal leadership

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Response#2 – 2025

 

Respond to your colleagues by explaining how the  leadership skills they described may impact your organization or your  personal leadership, or by identifying challenges you see in applying  the skills described.

At least 2 references in each peer responses!

  

Incivility and bullying have long been a problem within nursing and the healthcare profession.  Edmonson defines incivility as “the destructive and harming behaviors of disrespect and degradation” (Edmonson, 2017 p. 40).  In nursing it is known as “getting a thick skin” and “eating their young” (Edmonson 2017).  Incivility is harmful to the individual, patients, the organization, and has long-term negative effects.  It not only harms the individual but it can affect patient care and decrease morale in the work place.  Incivility can contribute to medical errors, preventable adverse outcomes, poor patient satisfaction, and increase cost of care.  It can create unhealthy and hostile work environments and can undermine the nurse’s idealism and professionalism.  Yet, disruptive behaviors such as incivility and bullying are tolerated in many settings and can cause clinicians, managers and staff to seek positions elsewhere.   Some key behaviors of incivility include rude comments, offensive or condescending language, public criticism, screaming, and disregard for interdisciplinary input on patient care (Lachman 2017).  Disruptive behaviors can have long lasting negative effects and affect the health and well-being of individuals due to psychological and physical stressors.  They can develop stress related disorders resulting in feelings of failure, tension and depression (Kim 2018). 

Healthful environments are grounded in a culture that values diversity supports communication, trust and collaboration.  To create a culture of civility that promotes a safe environment it is the responsibility of nurse leaders to support staff.  One strategy to creating a culture that does not tolerate incivility would be to socialize new and current employees.  Rather than let the day-to-day interactions of employees establish expectations, the nurse leader should clearly define behaviors that are acceptable and unacceptable to everyone.  Establish expectations of how staff should treat each other and post those guidelines (Smith 2018).  A second strategy to creating a healthful environment is to have a team approach to establishing team norms of civility.  Team members determine how norms are put into use and how to abide by them.  This approach will establish accountability among all team members of the organization (Clark 2016).  Having an honest and open approach to communication where people should not be afraid of telling their stories will help to empower people so speak out.  Creating a culture of structural empowerment allows people to regain their power, speak out against disruptive behaviors, and lower the levels of incivility (Lachman 2015).  An empowered culture will help maintain strategies that are in place, reduce tolerance of incivility and hold people more accountable.

When I was a nursing student I witnessed behaviors where the preceptor was deliberately being hard on the student, fortunately I had a preceptor who was nice and enjoyed teaching me.  As I entered the work force my first job was in the ED.  The manager of the ED was a nurse and she had an open policy where if anybody had issues they can come to her and discuss their grievances.  I noticed that the morale of the department was always good and everyone got along well.  The manager used a communication strategy called CUS (concerned, uncomfortable, safety) where people can come to her to address concern, state uncomfortable situations, and focus on safety.  When people have disagreements, the manger would talk to both of them in the office at the same time and let each person talk about their grievances.  It seemed to work pretty well as issues were promptly resolved and everybody seemed happy with the results.

References:

Clark, C. M. (2016).  Principled leadership and the imperative for workplace civility.  American Nurse Today, 11(11), 32-33.

Edmonson, C., Bolick, B., & Lee, J. (2017).  A moral imperative for nurse leaders: Addressing incivility and bullying in health care.  Nurse Leader, 15(1), 40-44.

Kim, J. (2018).  Relationship between incivility experiences and nursing professional values among nursing students: Moderating effects of coping strategies.  Nurse Education today, 65, 187-191.

Lachman, V. D. (2015).  Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42

Smith, J. G. (2018).  Establishing norms of respect: Strategies for nurses and managers.  American Nurse Today, 13(6), 44-45.

Herbal Use – 2025 Many individuals and cultures use herbs for a variety of reasons In your journal for this week respond

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Herbal Use – 2025

  

Many individuals and cultures use herbs for a variety of reasons. In your journal for this week, respond to the following prompts:

· How would you approach a family or individual who chooses to use herbs rather than a known allopathic treatment (such as for diabetes, pain management, wound care, or death and dying)?

· How might you integrate evidence into the conversation? Paper. 

Use 3 Nursing reference article to support your 

Another 9th – 2025 Levels of prevention primary prevention is most important in adult learning Review the five levels of prevention and then focus

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Another 9th – 2025

 Levels of prevention (primary prevention is most important in adult learning). Review the five levels of prevention and then focus on primary prevention. Offer three innovative ways in which to engage the adult population. 

 Please include at least three scholarly sources within your initial post. 

 

Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100 

NR631 Week SR – 2025 Respond The ability to navigate a complex project is not something I expected to learn

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NR631 Week SR – 2025

Respond 

 

The ability to navigate a complex project is not something I expected to learn to such a high level of detail when I first planned to work toward my graduate degree.  When I first learned that this was the plan, I thought it was a good idea; but I can’t say that I fully appreciated the impact this would have on my ability to actively engage others in change management.  I deal with projects quite a bit.  I am not the project manager and am always grateful to be paired with a person who loves this side of change management.  I would like to share a couple of moments that have happened during the time of this class.

The first challenge that I was able to address occurred a handful of weeks ago when I was assigned to transition one of our sites from a fully functional express care to a designated COVID test site for pre-surgical patient testing.  Without diluting the purpose of this post with too many details, the site leadership had significant concerns regarding the requested change and so I offered to conduct a SWOT analysis to help the team understand if their concerns were valid or an emotional response to a stressful situation.  In the parking lot of the facility, the entire team participated in a brainstorming activity to complete the analysis.  What resulted was a well-thought proposal where the team was able to outline a plan to achieve the critical elements of the request while acknowledging local weaknesses with shifts in how the plan was executed. 

The next example happened one week ago.  One of my projects is evolving beyond expectations.  Some of the work will be shifted into a distinct phase that can be temporarily backlogged.  A great deal of work needs to be done to ensure that the team is addressing the true root of the problem.  We had just completed the work breakdown structure and so it was fresh in my mind.  Despite an awareness of how complex the document can become, I offered this as a way for the team to navigate the growing number of project tasks.  Only a few sections are completed because there is so much discovery to be done.  Even with that, the team is finding clarity, direction, and an awareness of how this intimidating number of tasks can be organized in a way that makes them achievable. 

I feel empowered by these experiences and look forward to finding more opportunities like the two I have mentioned.  On one hand, these forms are taking more time and increase the work.  On the other hand, they are improving communication and contributing to the way the team perceives the work.  From my perspective, that is a win.