A business analyst is working on a project to develop a new payroll system for a company. The project involves gathering detailed business requirements from the HR department. The HR manager has limited time available, so the analyst decides to conduct a one-on-one interview to gather critical information. Which of the following is the best approach for the business analyst during the interview to ensure they gather complete and accurate requirements?
Wayne has been consistently attending his cardiac rehab sess…
Wayne has been consistently attending his cardiac rehab sessions 2-3 days a week for the past 4 weeks. During the sessions he has progressed from 15 minutes of walking on a treadmill with an incline to 40 minutes at an RPE of 13/20 not including a 5 minute warmup and cooldown walking on the treadmill without any incline. He has declined to complete any resistance training because he wants to focus on building his endurance back up. He performes a hamstring, quad, and calf stretch at the end of his exercise session before checkout. On his tenth session Wayne tells you that he would like to give resistance training a try. Wayne only has 1 hour to complete his exercise prescription in cardiac rehab, but is open to exercise on his off days. He reports walking for 30 minutes outside on days he does not attend CR. How would you adapt Wayne’s exercise program? Clearly identify the FITT for aerobic and resistance training and program it to be realistically completed during a 1 hour CR session AND any guidelines for exercise outside of CR.
Caleb recovers well enough to be discharged from the hospita…
Caleb recovers well enough to be discharged from the hospital. He also begins to undergo additional testing for lung transplantation eligibility. After assessment by the lung transplant team, he is placed on the transplant waiting list with a lung allocation scale of 68. He is unable to continue participating in PR due to his deteriorating condition and begins using supplemental oxygen at home. He also moves into an apartment with his mother, which is closer to the lung transplant center. After 5 months on the wait list, Caleb receives a double lung transplant from an adult male cadaver donor. Following a 14-hour surgery, he is transferred to ICU, place on mechanical ventilation. On day 2 post-op he is weaned from mechanical ventilation and displays no complications or signs of acute organ rejection. On day 4 he is transferred from ICU to a hospital ward. On day 15 he is discharged to his local apartment. Immediately following the procedure, he is placed on immunosuppressant regime including prednisone, tacrolimus, and mycophenolate mofetil. For the first 3 months post-transplant he is followed by the transplant team for weekly medical checkups and attends a pulmonary rehab program 2-3x a week. Pre-Transplant 6MWT (5 weeks prior) Pretest Posttest HR 97 126 BP 136/88 150/92 SpO2% 88 74 RPE- SOB 4 9 REP- leg fatigue 2 7 Total Distance: 390m Rest Breaks: 1 Supplemental O2: Venturi mask, FiO2= 34% Walking aid: rollator Post-Transplant 6MWT (12 weeks post) Pretest Posttest HR 84 116 BP 130/84 146/82 SpO2% 95 92 RPE- SOB 0 3 REP- leg fatigue 0.5 7 Total Distance: 530m Rest Breaks: 0 Supplemental O2: none Walking aid: none Assume your PR program is AACVPR certfied. This means you must address assessment, planning, reassessment, and discharge plans for each of the following components: exercise, nutrition, psychosocial, supplemental oxygen, and other core components/risk factors (as required for individual patients). Describe how you will assess, plan, and reassess the psychosocial aspect for Caleb in PR? (6pts) What member(s) of the interdisciplinary team is most appropriate to provide education and guidance on this topic? (2pts)
One day, Caleb comes to PR complaining of a worsening produc…
One day, Caleb comes to PR complaining of a worsening productive cough (thick dark green sputum), dyspnea, occasional hemoptysis, fatigue, and weight loss. You encourage Caleb to see his physician or go to urgent care. He follows your instructions and is ultimately admitted to the hospital due to respiratory compromise and an antibiotic resistant Staphylococcus aureus inflection. Additional information from his hospitalization is found below. Arterial Blood Gases: · pH: 7.3 · PaCO2: 110 · HCO3-: 52 · PaO2: 45 Is HCO3- normal or abnormal?
Per textbook, which one is not part of the System Request te…
Per textbook, which one is not part of the System Request template?
If Wayne were to develop the following EKG rhythm change fro…
If Wayne were to develop the following EKG rhythm change from rest to exercise on a treadmill, what would be the most appropriate response?
If Wayne were to develop the following EKG rhythm change fro…
If Wayne were to develop the following EKG rhythm change from rest to exercise on a treadmill, what would be an appropriate response?
You created an exercise program for Wayne that includes resi…
You created an exercise program for Wayne that includes resistance training at his request. However, he consistenlty reports NOT completing it. One day he states, ” I want to be stronger, but I just don’t have the time to do it all.” Write a COMPLEX reflection that could further evoke discussions about change with Wayne.
Which of the following statements best distinguishes a non-f…
Which of the following statements best distinguishes a non-functional requirement from a functional requirement?
In response to Wayne’s onset of worsening symptoms, his phys…
In response to Wayne’s onset of worsening symptoms, his physican ordered a resting echocardiogram. Findings suggested normal systolic function with a LVEF of 65%. However, there was severe aortic stenosis moderate aortic regurgitation. A left heart cathererization with magnetic resonance aortography was completed prior to an aortic valve replacement surgery via open heart surgery. There were no complications with the procedure. Wayne was discharged from the hospital after 3 days and plans to attend phase 2 cardiac rehab. Which of the following would be considered signs or symptoms of sternal dehiscence (total or partial separation of the sternal wound edges) that medical providers would encourage Wayne to monitor/watch for? (select all that apply)