Topic 1 DQ 1.1

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Topic 1 DQ 1.1

Please respond with a paragraph to the following post, add citations and references

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Health care reengineering is a powerful methodology that helps organizations reorder priorities, provide more cost-effective care and increase the value to customers. It should be driven by what the patient /customer wants and what the market needs. Nurse managers/leaders need strong communication and leadership skills. They should have appropriate coordinating skills, resources to achieve healthcare goals and objectives. They must be effective leaders who can strike a balance between working with nursing staff and the healthcare organization. Its imperative to have ethical decision making, both ethical and professional codes are needed to make sound decisions. Managers should also stay up to date with the legal aspects in the health care. Having legal knowledge will protect patients, staff members and the organization. They must stay engaged, support the work and provided resources to achieve the desired results of reengineering healthcare. A manager must be capable of rethinking how they view performance improvement. For example, it’s not a separate unit or department, it must become a way you work to survive in this complex healthcare environment. When dealing with patient lives we can’t continue to waste money and make simple mistakes. The role of a manager is a tough position because they play a vital part in advancing and keeping the healthcare system in motion. They stand for the bridge between the organization and the needs of the patients (Wood, 2012). Management will need to change the process to become more efficient, Lean Six Sigma is a program that incorporates the end user to help make the process of improvements (Wood, 2012). As the healthcare practices change, managers and leaders will face many new challenges. Leaders are responsible for maintaining a positive work environment that enables staff to provide quality care. Managers and leaders must also empower patients to speak up and take part in their care. When patients are allowed to manage their own care, they feel some autonomy and will in return have a sense of satisfaction. This satisfaction goes for nurses as well, when a transformational leader gives staff empowerment over their environment, the staff will experience more satisfaction in their careers (Kangasniemi, Vaismoradi, Jasper and Turunen, 2013). Major barriers to reengineering healthcare are the fear of change and the lack of confidence that the existing resources can meet the demand for care. Managers must create solutions that will embrace patients, staff and key stakeholders.

Resources:

Kangasniemi, M., Vaismoradi, M., Jasper, M. & Turunen, H. (2013). Ethical issues in patient safety: Implications for nursing management. Nursing Ethics, 20(8), 904916. Doi:10.117710969733013484488

Wood, D. (2012). Providers re-engineering healthcare for greater efficiency. AMN Healthcare. Retrieved from https://www.amnhealthcare.com

Comparison of Research Articles Assignment

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Comparison of Research Articles Assignment

Comparison of Research Articles

Choose two research articles published by a scholarly (peer-reviewed) journal on a current health care issue in the United States, controversial or otherwise.

Topics:

Suggested topics may include:

A study of vaccinations and autism rates
Maternal health, fetal health, or elder health
Disease-based studies, such as diabetes, hypertension, and heart disease
The increasing rates of caesarean sections in birthrates
Managed health care in the United States
Any of the leading Health Indicator topics (2020 LHI Topics) profiled in the Centers for Disease Control and Prevention’s Healthy People 2020 initiative website
Part One

Complete the attached “Article Comparison Table” to compare the two articles in terms of content, research methods, focus of the study, target audiences and subjects, and their possible impacts on the future of health care delivery. Comparison of Research Articles Assignment

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Part Two

Write a 500-750 words analysis that includes the following:

A summary of the topic you chose with rationale. (This may have personal significance to you or it may be a topic of particular interest that you have seen in the news.)
An explanation of the significance of the two research studies to health care delivery in the United States.
A description of the major functions provided by research and data monitoring of health care delivery in the United States.
Identification of potential environments within health care delivery appropriate to research and data monitoring.
Your assessment of the impact of the studies in your chosen articles in regards to health care delivery, incorporating and expanding on the information you provided in Part One. Were the studies intended to change or influence health care delivery? If so, how? If not, what are the implications of each study for health care delivery?
Your assessment of the role the allied health professional plays, or could play, in research and data monitoring of health care delivery in the United States.
Attach the “Article Comparison Table” to your written analysis and submit as one document.

Prepare this assignment according to the guidelines found in the APA Style Guides.

An abstract is NOT required.

This assignment uses a rubric (SEE RUBRIC ATTACHMENT). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin (SIMILARITY INDEX SHOULD NOT EXCEED 15%). Please refer to the directions in the Student Success Center. Comparison of Research Articles Assignment

Kidney GFR Decrease & Angiotensin II Case Study Questions

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Kidney GFR Decrease & Angiotensin II Case Study Questions

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the

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sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink. (Learning Objectives: 2, 4, and 5)

In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?
Need at lease 3 sources in APA format. You can write answer/response under each question.

Topic 5 DQ 2.1 Continuous Quality Improvement CQI In Healthcare

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Topic 5 DQ 2.1 Continuous Quality Improvement CQI In Healthcare

Please respond with a paragraph to the following post, add citations and references

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Continuous quality improvement (CQI) in healthcare is important to help identify problems and to develop new processes. Part of a CQI is to implement. Monitor and study nursing processes to ensure safe, efficient, and effective patient care. According to the center for disease control and prevention (CDC), catheter-associated urinary tract infections (CAUTI) account for more than 30% of healthcare associated infections (CDC, 2010). CAUTI’s are responsible for an increase in mortality rates, morbidity, high hospital costs and longer hospital stays. CAUTI’s can be easily prevented when nurses follow improved guidelines established by CQI (CDC, 2010).

In my current position, our CQI team implemented the reliable care blueprint requiring all Foley catheter insertions to be monitored by two nurses. Two nurses are required to review the patient’s chart and provide a reason why the patient needs a catheter insertion. If alternative measures are appropriate and available, they must provide a reason why or why not. All catheters must have a physician’s orders and reviewed every 24 hours for necessity. Two nurses are required to be present during the insertion. Latex allergies are assessed, all supplies are gathered and inspected, one nurse inserted the Foley while the second nurse observes for a break in sterility. Once the Foley is inserted, the observing nurse chart the insertion. This method has saved the organization thousand of dollars and it has ensured that charting is completed and correct.

My facility has also opened an OB-Emergency department, which was apart of the go live team. In the last 18 months I have seen and witnessed procedures, monitored those procedures and presented how those daily operating procedures are done for CQI’s. I have kept a record of all the new nurses who have worked in this area. During this time, we have met and discussed needs for improvements and errors. This gives nurses a chance to discuss safety hazards so that we can implement changes. CQI teams are a reliable method when used in any organization and it improves the care of patients.

Reference:

CDC, 2010. Healthcare infection control practices advisory committee. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/hicpac/CAUTI_fastFacts.html

Tags: healthcare nursing topic Continuous Quality Improvement APA Formatting Style CQI Discusssion

Health Law Discussion Paper

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Health Law Discussion Paper

When you hear the term taxation, you might assume it is a concern for accountants, but it is also a concern for health administrators today.

When shifting the discussion from patient-centered issues to the facility, you must understand that facilities must operate under state laws, and it is those state laws that give the enterprise the authority to exist. As such, when a facility declares that the nature of the facility is “charitable” the state has an interest in ensuring the facility is meeting its obligation under this status. The enormous advantages and tax benefits such institutions gain in being termed such is the reason for this degree of interest.

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Please look to your community and find at least two charitable hospitals and compare the two using information you can find through the internet:

What was it about these facilities that compelled you to share them with the class?
Does the community view the facility as charitable?
Does the facility rise to the status of charitable?
Be sure to include links to the websites, in an APA citation, so that your classmates can visit the sites as well. Health Law Discussion Paper

Respond with a paragraph, citations and references

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Respond with a paragraph, citations and references

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.( minimum 200 words)

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GCU Community Teaching Plan: Community Presentation

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GCU Community Teaching Plan: Community Presentation

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

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The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

PowerPoint presentation – no more than 30 minutes
Pamphlet presentation – 1 to 2 pages
Poster presentation
Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

Public health clinic
Community health center
Long-term care facility
Transitional care facility
Home health center
University/School health center
Church community
Adult/Child care center
Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Heart Attack Essay Paper

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Heart Attack Essay Paper

Scenario

Marguerite M., an eighty-nine-year-old widow, was admitted into the cardiac intensive care unit in Chicago’s Memorial Hospital at 3:00 A.M. on a Sunday morning with a mas­sive heart attack (myocardial infarction). Her internist, Dr. K., who is also a close family friend, has ordered an angiogram to determine the status of Marguerite’s infarction (heart attack). Dr. K. has found that the angiogram needs to be done within the first six hours after an infarction to be effective. The procedure is going to be done as soon as the on-call surgical team can set up the angiography surgical room. The radiologist, who lives thirty minutes from the hospital, must also be in the hospi­tal before the procedure can begin. At 4:30 A.M. the team is ready to have Marguerite, who is barely conscious, transferred front the intensive care unit to the surgical suite. Heart Attack Essay Paper

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Coincidentally, at 4:30 A.M. Sarah W., an unconscious forty-five-year-old woman, is brought in by ambulance with a massive heart attack. The emergency room physi­cians, after conferring with her physician by phone, conclude that she will need a balloon angiography to save her life. When they call the surgical department to have the on-call angiography team brought in, they are told that the room is already set up for Dr. K’s patient. They do not have another team or room for Sarah W. A de­cision is made that Sarah, who needs the balloon angiography to survive will receive the procedure.

Dr. K. is called at home and told that his patient. Marguerite, will not he able to have the angiogram. The hospital is going to use the angiography team for Sarah since she is younger than Marguerite and has a greater chance for recovery. Unfortunately, it took longer than expected to stabilize Sarah both before and after the procedure, and the six-hour “window” when the procedure could he performed on Marguerite passed. Sarah survived, made a full recovery, and returned to her family. Marguerite expired the following morning.

A. Should Dr. K. have had a voice in this decision ?

B. Is it ethical to “bump” Marguerite in favor of the younger patient?

C. Should this decision be discussed with Marguerite’s family?

D. Does the fact that Sarah’s life has been saved due to the angiogram team being ready to operate on Marguerite make any difference?  Heart Attack Essay Paper

Organizational Policy and Practices Assignment

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Organizational Policy and Practices Assignment

  • Prepare a presentation of the policy proposal you developed in Assessment 2 for one of the stakeholder groups identified in your proposal. Inform the group about the future of organizational policy and practices, the current performance shortfalls, and the rationale for why the new policy and practices are needed. In addition, explain how the group will benefit from this change in order to obtain their buy-in and support.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

An important aspect of change leadership is the ability to address diverse groups of stakeholders and create buy-in and support for your ideas and proposals for change. This assessment provides you with an opportunity to demonstrate and hone these skills. Organizational Policy and Practices Assignment

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze the effects of health care policies, laws, and regulations on organizations, interprofessional teams, and personal practice.
    • Explain how a proposed change in institutional policy or practice guidelines related to an existing health care policy or law would affect a stakeholder group.
  • Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Propose an institutional policy or practice guidelines related to an existing local, state, or federal health care policy or law.
    • Explain how  proposed change in policy or practice guidelines would improve the quality of work and outcomes for a particular stakeholder group.
  • Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, for health care policies and law for patients, organizations, and populations.
    • Interpret for stakeholders the relevant benchmark metrics that illustrate the need for a policy or practice guidelines.
  • Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Propose strategies for collaborating with a stakeholder group to implement and apply proposed institutional policy or practice guidelines related to a local, state, or federal health care policy or law.
  • Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.
    • Apply persuasive and effective communication strategies when presenting to a group of stakeholders. Organizational Policy and Practices Assignment

Context

Improving quality and outcomes is a key focus for health care organizations. With a focus on quality, the Centers for Medicare and Medicaid Services (CMS) publish publically reported data online and update it quarterly, which allows patients to compare hospitals on a wide range of metrics. These metrics can also be used to inform policy changes at local, state, and federal levels.

It is important that health care leaders be able to clearly articulate policy positions and recommendations and garner buy-in and support from stakeholder groups for policy and practice changes in their organizations. Unfortunately, there is often a lack of effective communication. Consequently, it is important for health care leaders, when leading change, to ensure that clear and open communication is ongoing and informative.

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

 

  • How would you ensure that a policy proposal you are presenting to stakeholders is effective for obtaining their support?
  • What strategic planning model would you adopt for setting compliance, quality improvement, and implementation goals for your proposed policy? Organizational Policy and Practices Assignment

Resources

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP6004 – Health Care Policy and Law Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Capella Resources

Capella Multimedia

  • Building Buy-In and Communicating with Stakeholders| Transcript
    • This media simulation enables you to walk through the preparation and communication steps that should be completed prior to delivering a presentation to a group of stakeholders. It also provides an opportunity to reflect on stakeholders’ wants and needs, as well as how to craft a message that will resonate with specific stakeholders.
  • Capella University Library Resources

This resource addresses future financial issues in health care delivery:

These resources explore leadership models in health care settings:

Internet Resources

These resources link to nursing leadership information that may of interest:

  • American Nurses Association. (2016). Policy and Leadership [Search results]. Retrieved from http://www.nursingworld.org/search.aspx?SearchPhrase=policy%20and%20leadership
    • The search results shown on this page for “policy + leadership” provide an extensive list of resources. You may choose to browse this list or modify the search terms to narrow the search.
  • (2016). ICN-International Council of Nurses. Retrieved from https://www.linkedin.com/company/icn-international-council-of-nurses
    • You may need to log in to LinkedIn to access the group page. LinkedIn membership is free of charge.

This resource links to the NCHL health leadership competency model:

  • In this assessment, you will build on the policy proposal work you completed in Assessment 2. Organizational Policy and Practices Assignment

Preparation

The policy proposal you developed was well received by senior leadership. As a result, they have asked you to put together a presentation for one of the stakeholder groups that you identified in your proposal.

Your deliverable for this assessment is a slide deck to support your presentation. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

If you choose to use PowerPoint and need help designing your presentation, a link to Microsoft tutorials is provided in the Supplemental Resources in the left-hand navigation pane of your FlexPathcourseroom. An additional PowerPoint guide is linked in the Resources.

The design and organization of your presentation will determine how many slides you need. However, in this instance, senior leaders have suggested that 8–12 slides is a reasonable expectation for this presentation.

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Presentation Requirements

Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your presentation, in an order that makes sense for your presentation, senior leaders have asked that you:

  • Interpret for stakeholders the relevant benchmark metrics that illustrate the need for a change in organizational policy and practice.
    • Provide a brief review of the metrics you are trying to improve for this stakeholder group, based on the dashboard benchmark evaluation you completed in Assessment 1.
    • Be sure to interpret the dashboard metrics in a way that is understandable and meaningful to the stakeholder group to which you are presenting.
  • Explain your proposed change in policy and practice guidelines and how it relates to applicable local, state, or federal health care laws or policies.
    • What specific changes are you proposing? Organizational Policy and Practices Assignment
    • How will these changes help drive performance improvement?
    • Why are policy and practice guidelines important, from an organizational standpoint?
    • What is the overall goal of the proposed policy or practice guidelines?
  • Explain how your proposed change in policy or practice guidelines will affect the tasks and responsibilities of the stakeholder group to which you are presenting.
    • How might your proposal change what tasks the stakeholder group performs or how they currently perform them?
    • How might your proposal affect the stakeholder group’s workload?
    • How might your proposal alter the responsibilities of the stakeholder group?
    • How might your proposal improve working conditions for the stakeholder group?
  • Explain how your proposed change in policy or practice guidelines will improve the quality of work and outcomes for the stakeholder group to which you are presenting.
    • How will your proposed changes improve the group’s quality of work?
    • How will your proposed change improve outcomes for the group?
    • How will these improvements enable the stakeholder group to be more successful?
  • Explain your strategies for collaborating with the stakeholder group to implement your proposed change in policy or practice guidelines.
    • What role will the stakeholder group play in implementing your proposal?
    • How could the stakeholder group collaborate with you and others during the implementation of your proposal?
    • Why is the stakeholder group’s collaboration important to successful implementation of your proposal?
  • Design your presentation to be persuasive and effective in communicating with the stakeholder group.
    • Is your presentation logically organized, clear, and professional?

Presentation Design

Being able to effectively address any audience is a necessary leadership skill. Remember that you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your audience is there to listen to what you have to say, not read your slides—or worse, listen to you read them. Design your presentation slides to compliment and reinforce your message and engage your listeners. Organizational Policy and Practices Assignment

The following tips will help you create presentation slides that work to your advantage:

  • Focus on the content of your presentation and the development of your main points. Remember that your purpose is to deliver a message on ethics that is clear, well organized, and engaging.
  • Consider your intended audience and how best to communicate effectively with them.
  • Create slides that support your presentation. They should not be your presentation.
    • Use a professional presentation template, or one used in your organization.
    • Ensure that your slide background provides sufficient visual contrast for your text and graphics.
    • Avoid filling your slides with text. Use speaker notes to record the details you want to communicate to your audience.
    • Be judicious in your use of bulleted lists. Consider a separate slide for each point.
    • Use images and graphics, when appropriate, to illustrate information and make your points. Presentation slides are a visual medium. Images are more effective than text at capturing viewers’ attention.
    • Avoid using images that are simply decorative. They can be a visual distraction and do not contribute to your message.
    • Avoid using flashy slide transitions and animations. They can be both distracting and annoying. Keep your slide transitions consistent throughout the presentation.
    • Add a slide to the end of your presentation to prompt questions from the audience. Organizational Policy and Practices Assignment

The Painting of Modern Life Assignment

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The Painting of Modern Life Assignment

By the due date assigned, respond to the assigned discussion questions and submit your responses to the appropriate Discussion Area. Start reviewing and responding to your classmates as early in the week as possible.

Question 1: The Painting of Modern Life

The late nineteenth century is often cited as a critical point in the development of a modern art. Impressionists and Post-Impressionists turned to the contemporary world as primary subject matter, and depicted elements of that world using an innovative style.

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Carefully examine the following paintings:

  • Monet, Rouen Cathedral: The Portal (In Sun), 1894
  • Manet, Bar at the Folies-Bergère, 1881-82
  • Seurat, A Sunday Afternoon on the Island of La Grande Jatte, c. 1884-86

In 3 well-developed paragraphs, address the following questions:

  1. How is the subject of each painting representative of Impressionism or Post-Impressionism?
  2. How are the style and visual characteristics of each painting representative of Impressionism or Post-Impressionism? Be sure to discuss specific elements such as brushwork/application of paint, use of color and light, and composition, in your response.
  3. Describe the specific ways that each painting shows tension between its inherent two-dimensionality and any illusion of three-dimensionality created by the artist. The Painting of Modern Life Assignment

Question 2:

Modern and Contemporary Art may seem alien to many people” seemingly without content, message, or purpose. But it can be argued that Modern and Contemporary Art visually reflect the complex and abstract ideas that we experience every day. Although not for everyone, art of the 20th and 21st centuries is often a key part of the collection in many art museums. As you consider the wide range of modern and contemporary art types that we studied this week, think of yourself actually visiting a modern art museum. In 2 well-developed paragraphs discuss:

  1. While you are visiting, what type of Modern or Contemporary art will you most want to see and why? Be sure to name the specific style (e.g., Analytic Cubism, Pop Art, Abstract Expressionism)
  2. What type will you put last on your list of things to look for?
  3. Why do you feel that way? The Painting of Modern Life Assignment

Be sure to explain your ideas clearly and support them by discussing specific works of art that you have read about this week, talking about how they illustrate and support your ideas. Include the images of these specific works of art in your response.

Respond to both questions as thoroughly as possible, making sure to use information from the readings and the lectures. All responses should be in complete sentence form, using proper spelling and grammar. The Painting of Modern Life Assignment