APPLICATION OF STANDARDS OF CARE AND CLINICAL CRITERIA FOR DETERMINING DANGER TO SELF

/in /by

There are 2 discussions: Topic 1 & Topic 2 (They both require references please)  

I  have attached the Case Study 2: Wrongful death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased.   

Topic 1: Application of Standards of Care    Your instructor has placed you in groups and assigned a case study. Case Study 2: Wrongful death by Howard Carpenter on Behalf of Wilma Carpenter, Deseased.  Look at the legal malpractice case study that has been assigned to your group. Describe the case and discuss the standard of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act be applied in a court of law if the case is sued?   

Discussion Board:  Minimum 200 words, APA Style, Time New Roman,  Font 12,   (3 references- in text citations) not older than (2012-2017). No Plagiarism please.

Topic 2: Clinical Criteria for Determining Danger to Self 

A 45-year-old wife of one of the staff physicians was admitted to the emergency room. She is intoxicated and loud. Her husband wants her admitted to the psychiatric unit. He has asked to have two other physicians that are his friends to sign the paper work to admit her. In New York State where the hospital is located two physicians can admit a patient against their will if they are a danger to themselves or others. You happen to be a neighbor and know that the couple is going through a divorce and the husband wants custody of the two children. You also know he is dating a nurse on another unit.  Differentiate between the ethical and legal implications of her admission. What actions will you take? Support your decisions with legal reasoning and case law.  

Discussion Board:  Minimum 200 words, APA Style, Time New Roman,  Font 12,   (3 references- in text citations) not older than (2012-2017). No Plagiarism please

Methods of Analyzing An Argument

/in /by

Initial Post Instructions
Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

  • Explain how applying the methods of analyzing an argument can help you make and win your point.
  • As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?
  • Provide an example of how you might diagram your findings.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Writing Requirements

  • Minimum of 3 posts (1 initial & 2 follow-up)
  • APA format for in-text citations and list of references

Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

  • Explain how applying the methods of analyzing an argument can help you make and win your point.
  • As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?
  • Provide an example of how you might diagram your findings.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Leadership Laws

/in /by

Introduction

This assignment is intended to introduce different ethical principles individuals’ value.  This will be observed from a Christian perspective.  Also ethical terminology will be reviewed or introduced.

Upon successful completion of this assignment you should be able to: 

  • Define ethical terms
  • Compare and contrast the difference between basic ethics and dilemma ethics.
  • Identify the Leadership Laws as described by Maxwell and Elmore needed to create sound policy.

Resources

  • Website: “Teaching the Virtues” by Christina Hoff Somners:  http://forerunner.com/forerunner/X0116_Teaching_the_Virtues.html
  • Textbook: Maxwell leadership Bible
  • Textbook: Rae Moral Choices
  • File:  Ethical Vocabulary List
  • PowerPoint:  Ethical Decision Making

Instructions

  1. View the Ethical Decision Making PowerPoint.
  2. Read the essay “Teaching the Virtues” by Christina Hoff Somners at http://forerunner.com/forerunner/X0116_Teaching_the_Virtues.html
  3. Review three Leadership Laws from the Maxwell Leadership Bible (2007). An Index for the Leadership Laws can be found in the back of your Bible. Consider your own personal and professional growth as you decide which laws to review.
  4. Review/ define the ethics vocabulary list found as an attachment in course materials under workshop one. Be prepared to apply the ethical theories and principles to discussions and assignments throughout the course. We need to understand and speak the language of ethics as we participate in ethical discussions.
  5. Review the PowerPoint on ethical decision making models.
  6. Access at least two of the following or other ethical resources online:
    1. Potter Box
    2. Decision Model Based on Moral Development Theory (Kristen Alley Swain)
    3. Hasted’s Bioethical Decision Making Model
    4. Kohlberg & Gilligan
    5. The President’s Council on Bioethics
    6. World Transhumanis Association
    7. American Society of Bioethics and Humanities
    8. NCBC The National Catholic Bioethics Center
    9. Six Step Ethical Decision Making Model
  7. Navigate to the threaded discussion and respond to the following:
    1. Post a two or three paragraph summary of your thoughts/ideas on this material and the integration of personal ethics with organizational and public ethics. 
    2. Compare and contrast the difference between basic ethics and dilemma ethics.
    3. Review of leadership laws
  8. Your initial post is due by the fifth day of the workshop.
  9. Read and respond to at least two of your classmates’ initial postings and any questions you are asked in your initial post by the end of the workshop.
  10. Use this material as you respond to various discussions and prepare work during the remainder of the course.

Asthma and Step wise Management

/in /by


Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms.

Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options.

Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

· Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.

· Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.

· Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Write a 2- to 3- page paper that addresses the following:

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

DISEASES AND THEIR BACKGROUNDS

/in /by

Slides should be professional in appearance and easy to read

disease & background

Identify the disease condition and give a brief statement of incidence and prevalence in the U.S. Discuss the pathophysiology of the disease and typical clinical presentation seen in patients with the condition. 

Publication & Applicability in Primary Care

Identify the author, organization or group that developed the CPG along with the year of the original guideline publication.  Discuss why the CPG is applicable in the primary care setting.

Key Action statements and Body of Evidence

Provide each of the CPG’s “Key Action” or “Guideline Statements” up to a maximum of 5 relevant recommendations. Identify the evidence strength for each recommendation. If the statement has applicability to other groups, only discuss the relevant primary care ones.

article to be used

Kapur, V.K., Auckley, D.H., Chowdhuri, S., Kuhlmann, D.C., Mehra, R., et al. (2017). Clinical Practice Guideline for the Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 13(3).

Rubric

Disease & Background

Student: 1)  Identifies the disease condition 2) Gives a brief statement of incidence and prevalence in the US 3) The student briefly summarizes the disease pathophysiology and 4) Identifies the typical clinical presentation seen in a patient with the disease (4 critical elements).

Publication & Applicability in Primary Care

The student: 1) Identifies the author, organization or group that developed the CPG, 2) Student denotes the year of the original guideline publication, 3) Student identifies  any subsequent revisions (student’s reference should be the most recent version), and 4) Student discusses the applicability for use of this CPG in the primary care setting (4 critical elements).

Key Action Statements & Body of Evidence

The student: 1)Provides each of the CPG’s “Key Action” or “Guideline Statements”  up to a maximum of 5 relevant recommendations, 2)  Provides the body of evidence strength for each, and 3) If the statement has applicability to other groups, only discuss the relevant primary care ones (3 critical elements).

Business Ideas for Nurse Practitioner Entrepreneurs

/in /by

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

A. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan. 

B. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)

C. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?

D. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.  

E. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

YOU CAN CHOOSE FROM ONE OF THIS IDEA

Nursing and Patient Care Delivery Models

/in /by

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

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

This assignment uses a rubric. 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.

FUNCTIONS OF HEALTH CARE COMMITTEE AND ROLES OF ITS MEMBERS

/in /by


Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.

A minimum of two academic references from credible sources are required for this assignment.

Submit the completed “Collaborative Committee Meeting Verification Form” with the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

REPLACEMENT OF HORMONES

/in /by

In recent years, hormone replacement therapy has become a controversial issue. When prescribing therapies, advanced practice nurses must weigh the strengths and limitations of the prescribed supplemental hormones. If advanced practice nurses determine that the limitations outweigh the strengths, then they might suggest alternative treatment options such as herbs or other natural remedies, changes in diet, and increase in exercise.

Consider the following scenario:

  • As an advanced practice nurse at a community health clinic, you often treat female (and sometimes male patients) with hormone deficiencies. One of your patients requests that you prescribe supplemental hormones. This poses the questions: How will you determine what kind of treatment to suggest? What patient factors should you consider? Are supplemental hormones the best option for the patient, or would they benefit from alternative treatments?
To prepare:
  • Review Chapter 56 of the Arcangelo and Peterson text, as well as the Holloway and Makinen and Huhtaniemi articles in the Learning Resources.
  • Review the provided scenario and reflect on whether or not you would support hormone replacement therapy.
  • Locate and review additional articles about research on hormone replacement therapy for women and/or men. Consider the strengths and limitations of hormone replacement therapy.
  • Based on your research of the strengths and limitations, again reflect on whether or not you would support hormone replacement therapy.
  • Consider whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies.

With these thoughts in mind:

By Day 3

Post a description of the strengths and limitations of hormone replacement therapy. Based on these strengths and limitations, explain why you would or why you would not support hormone replacement therapy. Explain whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies and why.

IMPLEMENTATION OF A NEW COMPUTER SYSTEM

/in /by

Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee 

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues 

§ Reference slide – list of academic references, using APA style 

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template). 

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee 

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style 

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

6. Submit the Week 2 Assignment via Blackboard by clicking on the “Week 2 Assignment” link. 

7. Include the proper file naming convention: 

· CMP105_wk2_assn_jsmith_mmddyyyy

Note: The PowerPoint template for this assignment is located within the Assignment section on Blackboard.