Christian view of the nature of human persons

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Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

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.

This assignment uses a rubric.

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant. Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted, and it is determined that the fetus has a rare condition in which it has not developed any arms and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome. Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud. Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears. Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place and urges Jessica to think of her responsibility as a mother.

Clinical Decision Support And Evidence-Based Practice

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Assignment: Clinical Decision Support and Evidence-Based Practice

Just as global positioning systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, clinical decision support (CDS) systems provide health care professionals with guidance for important decisions related to patient care. CDS systems have many capabilities, such as synthesizing patient information, recommending diagnostic tests, presenting alerts for life-threatening conditions, suggesting options for treatment, and offering relevant evidence and best practices. However, like GPSs, CDS systems are not always perfect, and many of their design specifications and functionalities are still evolving. In particular, issues such as alert fatigue and the integration of evidence-based practice (EBP) resources and clinical guidelines are still developing for CDS systems.

In this Assignment (due this Thursday), you identify the established EBP databases and clinical guidelines for your specialization area. You also consider how to integrate these elements into a CDS system specific to your specialization area. In addition, you analyze the benefits and drawbacks of integrating EBP and clinical guidelines within specialized CDS systems.

To prepare:

  • Review this week’s Learning Resources on CDS systems, EBP, and clinical guidelines. Focus on the Hammond, Jaffe, and Kush article, “Healthcare Standards Development: The Value of Nurturing Collaboration”(http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_043995.hcsp?dDocName=bok1_043995) and consider how CDS systems could be used to achieve integration of standards, guidelines, and EBP within your specialization area.
  • Identify at least two databases that can be considered “gold standards” for current research and EBP recommendations within your specialization area (Cardiology, I’m a cardiac nurse).
  • Identify at least two condition-specific clinical guidelines that are applicable to your specialization area. One possible resource for locating clinical guidelines is http://www.guidelines.gov
  • Consider how the databases and guidelines you identified could be integrated into a CDS system. For example, would you recommend an alert system, a side panel within an electronic health record (EHR) system, a separate computer or device for health care professionals to consult at their discretion, or an alternative system?
  • Reflect on the benefits and disadvantages of the type of CDS system you selected to integrate your EBP databases and clinical guidelines.

To complete:

Write a 3-page paper in APA format, due on Thursday 9/15/16, that addresses the following:

  1. Identify the two databases you selected as “gold standards” for EBP within your specialization area ( My specialization is Cardiac nursing ). Justify your selections.
  2. Identify the two condition-specific clinical guidelines you selected, and explain their significance within your specialization area. (http://www.guidelines.gov)
  3. Explain how the databases and guidelines you identified could be integrated into a CDS system. Describe the type of system you would recommend, and justify your recommendation.
  4. Identify at least two benefits and at least two challenges of the CDS system you recommended.Cite at least 4 references using APA style.This Assignment is due by Thursday 9/15/2016 by 12 noon Required ReadingsBredemeyer, J., & Androwich, I. (2012). Transitional research: Generating evidence for practice. In D. McGonigle & K. G. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 471–485). Burlington, MA: Jones and Bartlett.  This chapter describes information gathering and application processes of translational research. The authors also identify the importance of self-critique and persistent answer-seeking in evidence-based practice. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
  • Chapter 25, “Translational Research: Generating Evidence for Practice”
  • Chapter 16, “Informatics Tools to Promote Patient Safety and Clinical Outcomes”

 Ensuring the safety of patients is the responsibility of everyone within a health care organization. This chapter analyzes the role that technological advancements in information storage and delivery plays in supporting safety practices.

Brokel, J. M. (2009). Infusing clinical decision support interventions into electronic health records. Urologic Nursing, 29(5), 345–352.

Retrieved from the Walden Library databases.

This article describes a variety of decision support systems interventions that are available to nurses while using electronic health records. The author suggests how these interventions can be used by nurses for assessments, for diagnosing problems and identifying preferences, for performing interventions, and for evaluating outcomes.

Glaser, J. (2008). Clinical decision support: The power behind the electronic health record. Healthcare Financial Management, 62(7), 46–48, 50–51.

Retrieved from the Walden Library databases.

 In this article, the author considers the impact that clinical decision support has on patient care by establishing the relationship between EHR-based patient care and CDS-based applications.

Kesselheim, A. S., Cressweel, K., Phansalkar, S., Bates, D. W., & Shiekh, A. (2011). Clinical decision support systems could be modified to reduce “alert fatigue” while still minimizing the risk of litigation. Health Affairs, 30(12), 2310–2317.

Retrieved from the Walden Library databases.

 Clinical decision support (CDS) systems implemented to assist health care personnel with decision making help health care organizations use their resources most effectively. This article deals specifically with the ways CDSSs can help health care organizations save money.

Agency for Healthcare Research and Quality. (n.d.). National Guideline Clearinghouse. Retrieved January 2, 2014, from http://www.guideline.gov/

 NGC is a public resource for evidence-based clinical practice guidelines. Provided by the Agency for Healthcare Research and Quality (AHRQ) a part of the U.S. Department of Health & Human Services.

Hammond, W. E., Jaffe, C., & Kush, R. D. (2009). Healthcare standards development: The value of nurturing collaboration. Journal of AHIMA, 80(7), 44–52. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_043995.hcsp?dDocName=bok1_043995

 The authors examine how standards developing organizations (SDOs) collaborate to create technical standards. Those standards clarify communication between health care personnel and improve patient care.

McMaster University. (2012). Evidence-based practice resources. Retrieved from http://hsl.mcmaster.ca/resources/topic/eb/

 This collection of resources on evidence-based practice (EBP) covers basic information about its methodologies. This includes a list of useful references, charts, and definitions pertaining to different facets of EBP application in health care organizations.

Charles Horton Cooley’s concept of "the Looking-Glass Self."

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  1. Explain Charles Horton Cooley’s concept of “the Looking-Glass Self.” Then apply the concept of “the looking-glass self” to describe hypothetically how a person who has an eating disorder could have been influenced by others.

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  2. According to your text, parents of different social classes socialize children differently. For example, middle-class parents are more likely to stress independence and self-direction, whereas working-class parents prioritize obedience to external authority. Research shows that such socialization through families potentially reproduce inequality. Do you agree or disagree? Substantiate your argument with at least 2-3 examples from academic sources Charles Horton Cooley’s concept of "the Looking-Glass Self.".
  3. Define what an ‘ascribed status’, an ‘achieved status’, and a ‘master status’ are. Describe some ascribed statuses, achieved statuses, and a master status from your life. How do these statuses make you feel? Examine the positives and negatives of these statuses? How did the example you gave become to be your master status? Is the master status within your control to change, or is it a matter of others’ perceptions?
  4. What is ‘Social construction of Reality?’ Provide a couple of examples either from your life or those found in the society to elucidate the concept well.
  5. Pick either Erving Goffman’s “Dramaturgical Theory” or Harold Garfinkel’s “Ethnomethodology” & ‘Breaching Experiments’ and explain it in detail. Provide 2 detailed examples to substantiate the theory you choose to explain Charles Horton Cooley’s concept of "the Looking-Glass Self.".

The biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors

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Case Study – The Elderly 

Scenario:As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to  colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:

  1. Read the scenario above and answer the following questions:  

    • What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?
    • Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?
    • What activities related to health promotion and disease prevention would you plan for the late fall?
    • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?
  2. Your response should be 50 – 100 words. 

The pathogenesis of diarrhea

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You are an RN working in an Urgent Care. Below is just a brief history of a client with information limited on purpose to encourage you to utilize your critical thinking skills.

Subjective information: Miranda is a 26-year-old female who presents to the office with the complaint of diarrhea for 6 days. She states she has lost 8 pounds in one week. She is not currently taking any medications. She has tried over-the-counter remedies for the treatment of her diarrhea with minimal improvement. She is generally healthy with only a sinus and bladder infection on occasion.

Objective information: She does not have a temperature, BP is 102/60, Pulse is 98, and her bowel sounds are present in all quadrants and are hyperactive. Her abdomen is soft and mildly tender.

In a 2-3 page paper, answer the following questions. Include, at minimum, two peer reviewed sources (in-text citation), and provide a Reference page (not included in the page count) using APA Editorial format.

  1. What is the pathogenesis of diarrhea?
  2. Describe the different mechanisms of diarrhea (osmotic, secretory and motility).
  3. With the limited information provided, what additional information would you like to obtain from her history and physical to help direct your care plan? Describe why obtaining this information would be helpful in leading you to a nursing diagnosis.
  4. What infectious or inflammatory conditions could she be suffering from?

Health Policy, Politics, and Professional Ethics

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Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

  • How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
  • Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
  • Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

Reflective Practice: Pants on Fire

Sarah Palin is famous for urging her supporters to oppose Democratic plans for health care using the scare tactic of death panels. She said the Democrats plan to reduce health care costs by simply refusing to pay for care:

And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.

In fact there was no panel in any version of the health care bills in Congress that judges a person’s level of productivity in society to determine whether they are worthy of health care.

The truth is that the proposed health bill would have allowed Medicare, for the first time, to pay for optional doctors’ appointments for patients to discuss living wills and other end-of-life issues with their physicians. PolitiFact awarded Palin with the 2009 Lie of the Year for the death panel claim, but the political impact of her statement is hard to overstate. In 2011, the Obama administration even deleted all references to end-of-life planning in a new Medicare regulation when opponents interpreted the move as a back-door effort to allow such planning. So even, in the regulations Palin achieved her goal (Holan, 2009).

Structure and Function of the Respiratory System

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No Plagiarism please, assignment will be checked with Turnitin. 

Will need 4 full pages,  double spaced all throughout the page for the case study, APA Style, Times New Roman, font 12, Title Page and a Reference page. 

Case Study 1:   Structure and Function of the Respiratory System

Brad is 45 years old and has been working as a coal cutter in a mine for the last 25 years. He likes the job because it pays well and the same mine had employed his father. Like many of his colleagues, Brad has had problems with a chronic cough. He has avoided his annual checkups for fear that he will be told he has “black lung,” or coal worker’s pneumoconiosis. The disease causes fibrosis, decreased diffusing capacity, and permanent small airway dilation. In later stages, pulmonary capillaries, alveoli, and airways are destroyed. Structure and Function of the Respiratory System 

Make sure all of the topics in the case study have been answered.

1.) How can the disease described above create a mismatch between ventilation and perfusion?  Use your understanding of alveolar dead space and physiologic shunt to explain your answer.

2.) Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling.  Why is this so? 

3.) In general terms, what mechanisms in lung disease can affect diffusing capacity across alveolar membranes?  Use the Fick law to explain your answer.

Cite at least 3 References; journal articles, textbooks, or evidenced-based websites to support the content. 3.

All sources must be within five years (2012-2017) Structure and Function of the Respiratory System.

Your executive leadership team asked you to review two health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt.

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Your health care organization has had several small compliance incidents in the past two years, and the organization is now motivated to update their compliance program. Your executive leadership team asked you to review two health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt.

Select the type of health care organization you want represented in this assignment (e.g., family practice, hospital, urgent care, or nursing home).

Locate two compliance program documents from comparable health care organizations using your Internet search engine.

Read both compliance program documents and examine the similarities and differences between the two.

Create a matrix that compares how both organizations execute the following compliance components:

  • How internal monitoring and auditing is conducted
  • How compliance and practice standards are implemented
  • The designated compliance officer (or person designated to be the contact for compliance matters), who that person reports to, and their relationship to the organization’s governing board
  • How employees are trained and educated to model compliant behaviors
  • How violations or offenses are detected, reported, and corrected
  • How lines of communication with employees is developed
  • How disciplinary standards are enforced

Write a 525- to 700-word executive summary that informs your executive leadership about the matrix you created and offer your opinion as to which best practices the organization should adopt for its own compliance program.

Cite the 2 compliance program documents and any additional references that support your opinion (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines Your executive leadership team asked you to review two health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt..

A System Approach to Surgical Improvement

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Case Study: A System Approach Review the case study in the article, Texas Health Harris Methodist-Cleburne: A System Approach to Surgical Improvement (Links to an external site.)Links to an external site.. After reviewing the case study, construct a written paper that addresses the following: •Explain organizational theories evidenced in this case study. •Analyze how Texas Health Harris Methodist-Cleburne is a learning organization. •Explain the organizational structure displayed in this case study. •Describe the leaders involved in this case study. •Discusses the role of the leaders in this case study. Including an introduction and conclusion paragraph, your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Including the textbook, utilize a minimum of three (one of which is the case study article used for review) scholarly and/or peer-reviewed sources from the Ashford University Library that were published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist (Links to an external site.)Links to an external site.. it is do tomorrow at midnight. Can you please let me know. I will appreciate your help.

The history and development of the Global Health Data Exchange (GHDx)

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The history and development of the Global Health Data Exchange (GHDx)

Imagine you are a Program Manager or Technical Analyst, working for the World Health Organization (WHO) or Non-governmental Organization (NGO). You have been asked to put together a PowerPoint presentation  of 8-10 slides, not including title or reference slides, about what you learned at the recent World Health Summit. Each slide with content should also include 150-200 word Speaker Notes.  Be sure to include the following information in your presentation:

  • Explain your job duties.  
  • Describe the history and development of the Global Health Data Exchange (GHDx), and explain why it was formed. 
  • Include the types of services it provides around the world.  
  • Explain how the WHO, GHDx, and the World Health Summit are involved in world health, including information about how new technology is provided for foreign countries.  
  • Provide and describe the types of health care technology available in foreign countries. This can include low-income, middle-income, and high-income economies.  
  • Select 5 of the best health care organizations in the world, and summarize the services they provide. Explain why these are considered the best health care organizations in the world.  
  • In a table, outline significant differences among 4 nations offering the best health care as compared to those that provide low-quality health care. 

Be sure to support your information by citing at least 2 scholarly references using APA format The history and development of the Global Health Data Exchange (GHDx).