discuss how nurses need to examine and answer questions that address primary aspects of nursing when developing a nursing philosophy.

WEEK 4 – ASSIGNMENT

Overview

Hood (2014) discuss how nurses need to examine and answer questions that address primary aspects of nursing when developing a nursing philosophy. In this assignment, you will answer some of these questions as a start to developing your own personal philosophy of nursing.

NOTE:

Make sure and use the assignment rubric to guide your work.

  • Provides clear comprehensive discussion of each element.
  • APA citations have no errors, or minimal (italics, etc.) error noted.

Personal Philosophy of Nursing

Purpose: To write a beginning philosophy of nursing that reflects your beliefs and values.

Please be thoughtful and thorough as you complete this assignment. Each section should have at least 3-4 complete sentences.

Write your personal philosophy of nursing in the spaces provided below. The gray fields will expand as you type.
1.I chose nursing as my profession because nursing is ________________________.
2.I believe that the core of nursing is _________________________________.
3.I believe that the focus of nursing is ___________________________.
4.My vision for myself as a nurse is that I will ______________________________.
To live out my philosophy of nursing, every day I must remember this about:
1.My patients: ______________________________.
2.My patients’ families: _________________________________.
3.My fellow health care professionals: _________________________.
4.My own health: ___________________________________.

(Black, 2014, p. 263).

Black, B. P. (2013). Professional nursing, concepts and challenges (7th ed.). Saunders Elsevier. ISBN 9781455702701

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolter’s Kluwer.Tags: philosophy of nursingaspects of nursing

Write a 2-3 page report, not counting the title page and reference sheet. In your report, be sure to include the following:

Question Description

Hi Tutors!

I need help with nursing class assignments. Can you help me to write about veterab support center in New York city???

Assignment Instructions

Visit a veteran support service center in your city or area. It can be any kind of center that supports veterans such as the Disabled American Veterans (DAV), American Legion, Veterans of Foreign Wars (VFW), and American Veterans (AMVETS). There are others including those that are unique to your community. Google “Veteran Service Centers” for your area to find some. Use your city in the search. You may need to word it differently such as “Veteran and Military Support Centers.” Let me know if you need assistance. Here is a useful website to search for state and local resources.

https://www.va.gov/landing2_locations.htm

When you visit the center, inquire about their services, their mission/goals, how many veterans they serve, the age of the veteran population and any information that will help you to better understand the services that are available to veterans in your community.

Write a 2-3 page report, not counting the title page and reference sheet. In your report, be sure to include the following:

What kind of center was it? To whom did you speak? What did you learn about the services that are provided to veterans? Provide a one paragraph substantive reflection of your experience at the end.

APA format required

At least one reference

Use headings in your report per APA style.

Turnitin score must be 24% or less.

* Describe the significant statistic, such as p-value, used to determine statistical significance. What are the study results? Were the study results statistically significant? How do you interpret the results?

Question Description

I need help in answering these questions

Inferential Statistics 

Use a quantitative study, other than a descriptive design; because you will need to use the inferential statistical test and results. 

Inferential statistical tests, which includes descriptive and advanced statistics, are used to answer the research question. The TDfocuses on the  inferential statistical tests used to answer the research question. Concentrate on study results, verses statistical results that describe the study sample.

State the research question from a selected research study (Spread of disease among homeless population). Keep in mind the verb/s in the research question should appropriately support the statistical tests used in data analysis. 
Describe the inferential tests used in the study (in other words, t-tests, chi-squares, ANOVA, multiple logistic regression, etc.) to answer the research question.The inferential test was used to examine what? 
Describe the significant statistic, such as p-value, used to determine statistical significance. What are the study results? Were the study results statistically significant? How do you interpret the results? 
Are statistically significant findings also clinically significant? Describe the clinical significance of the study findings. Compare the statistically significant results with the clinically significant results.
What were the study recommendations? What different recommendations would you offer relative to research and to nursing practice? Use specific examples 

1 Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

Question Description

INSTRUCTIONS:

1 Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

2 Establish statistics volume projections for the budget year 2015 for all four (4) departments.

3 Establish a position control plan for the new Psychiatric Unit. (Part of Nursing)

4 Establish a position control plan for nursing and laboratory.

5 Complete expense item for laboratory & radiology for 2015.

6 Project the expected net revenue for all Medicare, HMO, and all Other Insurance patients.

 The percentage breakdown of patients by payor mix is as follows:

Medicare  51%

  Blue Cross  16%

  Medical Asst  08%

  HMO  10%

  Commercial INS  07%

  Other  05%

  Self Pay  03%

  Total    100%

In the new fiscal year, the hospital plans to:

1  Establish a separate distinct 15-bed inpatient psychiatric unit.

2  Install new equipment in the laboratory to enable the hospital to do 35% more tests in-house rather than send them to a reference lab.

3  Recruit a general surgeon and a Internist.

4  Purchase an additional CT scanner which is expected to increase current radiology volumes by 3.25%.

THREE DEPARTMENTS ARE INVOLVED IN OUR BUDGET EXERCISE.  THEY ARE NURSING, LABORATORY, PHARMACY AND OUTPATIENT/AMBULATORY SERVICES.

 STATISTICAL DATA

      2012 – 2013        2013-  2014        2014- 2015

Admissions In Pt (Nursing)                      7,395                7,400                7,370

Laboratory Test                                      399,330              411,810            421,564

Pharmacy Rx                                         99,832                100,011            99,642

Radiology Exams                                   68,222                69,124               68,950

LABORATORY  EXPENSES

                                                           2012                   2013               2014

 Supplies                                           $79,866               $86,480           $96,959

 RADIOLOGY EXPENSES

 Supplies                                          $395,205              $405,222         $410,100

PARIENT REVENUE

Gross Revenue Projected for the 2014-2015 budget year is as follows:

  In Patient            $30,675,000

  Out Patient         $36,878,000

 Total                  $67,553,000

 Current Reimbursement Formulas:

                                           In Patient                          Out Patient

 Medicare                              $5760/case                    38% of Charge

 HMO                                    $1215.00/pat day           31% of Charge

 Other Insurance                     $7655.00/discharge     42.5% of Charge

Write a paragraph of 400 words on your understanding of the dilemma of providing information to carers while considering the confidentiality concerns relating to the patient/client as a registered nurse.

Question Description

The modules do not need any introduction. The references should be latest  DO NOT REFERENCES THAT ARE MORE THAN 9 YEARS OLD! gramma should be very good and APA STRUCTURE!
Module 1
Module one looked at the specific rights and responsibilities of the registered nurse in a peri-operative care unit, including from the perspective of keeping the registered nurse and her/his patients/clients physically and emotionally safe. It also raised the issue of legal responsibilities and identified issues specific to perioperative care unit.
write a 350-word paragraph on an issue of safety or of legal responsibility that you explored in some depth as a registered nurse, ensuring it is specifically related to peri-operative care unit.

Module 2
Module two looks specifically at the rights of clients and in more depth the rights of their carers in the process of treatment and recovery. It raises some questions about how the nursing profession views and deals with the rights of the carers and their need for information, particularly in the context of patients/clients who may lack insight into their care needs.
For your assessment: 
Write a paragraph of 400 words on your understanding of the dilemma of providing information to carers while considering the confidentiality concerns relating to the patient/client as a registered nurse. Don’t forget to consider the ethical implications in your consideration of the issues.

Module 3
Module three gave you the opportunity to explore how the various people we interact with in the health care environment make meaning of their illness and of their situation. It has also given you the opportunity to reflect on how you relate to that and to make meaning of your own experiences.For your assessment:
Review and refine your reflection from the activity as for this module to a 350 word paragraph. Reminder “As a registered nurse”
Please provide 5 or more references for each of the modules

Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.

Question Description

Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.

Case Study:

Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.

In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).

Respond to the following:

  • Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
  • Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
  • Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
  • How should the nursing profession respond to this frightening new legal threat?
  • Which sections of the State Nurse Practice Act did the nurses violate?

Reference:

Calfee, B. E, & Plum, S. D. (1997). Nurses indicted: Three Denver nurses face prison
in a case that bodes ill for the profession
. Retrieved from http://business.
highbeam.com/4397/article-1G1-19588498/nurses-indicted-three-denver-
nurses-face-prison-case

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Assignment 2 Grading CriteriaMaximum Points
Explained your emotions for the Colorado Board of Nursing case.18
Discussed whether the courts should take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain.18
Identified and provided examples of other occupations in which the consequences of unintentional errors have greater legal implications.18
Explained how the nursing profession should respond to this frightening new legal threat.18
Identified and described the sections of the State Nurse Practice Act the nurses violate.18
Presented well-focused and coherent arguments.10
Supported answers with relevant examples and journal articles.10
Articulated clearly all judgments and lines of reasoning.10
Demonstrated insight and analysis.10
Written components.20
Total:150

b. Discuss how what you learned led to your community diagnosis.

Question Description

This is a nursing portfolio.. It is not finished it is missing parts. please help me pass this.. Not sure if I did it correctly at all..

1.  Create a professional mission statement (suggested length of 1 paragraph) that includes the following:

●  representation of your career goals, aspirations, and how you want to move forward with your career

●  overview of where you would like to focus your time and energies within the profession

a.  Reflect on how your professional mission statement will help guide you throughout your nursing career.

2.  Complete a professional summary (suggested length of 3–4 pages) that includes the following:

a.  Explain how the specific artifacts and/or completed work in your portfolio represent you as a learner and a healthcare professional.

b.  Discuss how the specific artifacts in your portfolio represent your professional strengths.

c.  Discuss any challenges you encountered during the progression of your program, if applicable.

i.  Explain how you overcame these challenges, if applicable.

d.  Explain how your coursework helped you meet each of the nine nursing program outcomes.

Note: Refer to the document below titled “Nursing Conceptual Model”

e.  Analyze how you fulfilled the following roles during your program:

•  scientist

•  detective

•  manager of the healing environment

f.  Discuss how you have grown professionally since the beginning of your program.

B.  Complete the following within the section “Quality and Safety”:

1.  Reflect (suggested length of 1 page) on your professional definition of quality and safety developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

Note: The artifacts should be attached within the portfolio.

i.  Explain how these artifacts support your definition from part B1.

2.  Discuss the importance of the Institute for Healthcare Improvement (IHI) certificate for your future role as a professional nurse.

C.  Complete the following within the section “Evidence-Based Practice”:

1.  Reflect (suggested length of 1 page) on your professional definition of evidence-based practice developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

Note: The artifacts should be attached within the portfolio.

i.  Explain how these artifacts support your definition from part C1.

2.  Reflect (suggested length of 1 page) on your understanding of evidence-based practice and applied nursing research by doing the following:

a.  Discuss how you are able to evaluate current primary research and apply the concepts to your nursing practice, considering the following:

•  relevancy and believability of data

•  differences between quality improvement and research (places and uses of each)

•  differences between primary and secondary research and resources and the implications of each in clinical practice

b.  Explain how your experience in the program helped you achieve excellence in evidence-based practice.

D.  Complete the following within the section “Applied Leadership”:

1.  Reflect (suggested length of 1 page) on your professional definition of applied leadership you developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

Note: The artifacts should be attached within the portfolio.

i.  Explain how these artifacts support the definition from part D1.

2.  Summarize (suggested length of 1 paragraph to 1 page) your Learning Leadership Experience task by doing the following:

a.  Discuss the importance of professional collaboration for effective nursing leadership.

E.  Complete the following within the section “Community and Population Health”:

1.  Reflect (suggested length of 1 page) on your professional definition of community and population health you developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

Note: The artifacts should be attached within the portfolio.

i.  Explain how these artifacts support the definition from part E1.

2.  Summarize (suggested length of 1 page) your Community and Population Health task by doing the following:

a.  Discuss what you learned during your Community Health Nursing task.

b.  Discuss how what you learned led to your community diagnosis.

c.  Discuss how your initial focus and diagnosis evolved after working with your population.

3.  Discuss the importance of the American Museum of Natural History (AMNH) certificate for your future role as a professional nurse.

Discuss with your colleagues the following questions:

Question Description

Question 1

Discuss with your colleagues the following questions:  What is Legality? Specifically how are employees and medical entities legally responsible in Health Service Organizations? Provide two specific real life case examples that you find on the internet or in the print media.  Read the background articles but this discussion will take research beyond the above articles.  Provide citation of authority to support your initial response to discussion questions.  Peers are expected to demonstrate critical thinking in their questions related to the classmates’ descriptions. Initial response to dicussion topic must be no later than midnight Thursday and then you must substantively respond to at least 2 classmate submissions no later than 6pm Sunday. See Discussion Requirements in Discussion topic entitled “Discussion Expectations and Grading” No duplication. Redundant primary posts will not be graded. 

Lecture articles

http://www.beckershospitalreview.com/hospital-management-administration/13-legal-issues-for-hospitals-and-health-systems.html

[Legal issues facing health care professionals]

http://ijahsp.nova.edu/articles/Vol2num1/pdf/lazaro.pdf [ethical and legal analysis of health care case]

 Background Readings for week 1 discussion 1

  • http://www.whitehouse.gov/our-government   [everyone should have a baseline understanding of the U.S. Government, specifically the Executive, Legislative and Judicial branches, and legal responsibilities of individuals and organizations from each of the three branches]
  • https://www.osha.gov/workers.html#6 [This government website outlines employer responsibilities under Occupational Health and Safety Administration federal law.]
  • http://healthsafety.etsu.edu/docs/Employee_Safety_Handbook.pdf[This employee handbook identifies a number of state and federal obligations as it relates to employees.  Pay special attention to the activities and programs on page 10 of this handbook.]
  •  http://www.wha.org/data/sites/1/emergencyPrep/EthicalResp_HCLeadership_8-08.pdf  Question 2
Discuss with your colleagues 1.What are Ethics? 2. Where do they come from and who is responsible? 3. How do ethics apply to health care organizations and its employees? Provide two specific real life case examples that you find on the internet or in the print media.  4. Research a specific ethics issue applicable to health care organizations, discuss how it was handled, what ethics theory epitomizes the handling of the issue and how would you have handled the issue and which specific ethics theory would apply to your solution. [see below A Framework for Thinking Ethically to help with last question] Read the background articles but this discussion will take research beyond the above articles.  Provide citation of authority to support your initial response to conference questions.  Peers are expected to demonstrate critical thinking in their questions related to the classmates’ descriptions.  Initial response to dicussion topic must be no later than midnight Thursday and then you must substantively respond to at least 2 classmate submissions no later than 6pm Sunday. See Discussion Requirements in Discussion topic entitled “Discussion Expectations and Grading”  No duplication. Redundant primary posts will not be graded. Lecturehttp://www.rcecs.com/MyCE/PDFDocs/course/V7050.pdf [Ethics issues facing health care professionals]http://ijahsp.nova.edu/articles/Vol2num1/pdf/lazaro.pdf [ethical and legal analysis of health care case]See background readings below. ·         http://www.wha.org/data/sites/1/emergencyPrep/EthicalResp_HCLeadership_8-08.pdf[Ethical Responsibilities of Health Care Leadership]·         http://www.ucdmc.ucdavis.edu/compliance/pdf/respons.pdf[This educational resource is designed to help health care organization directors ask knowledgeable and appropriate questions related to health care corporate compliance.]·         http://www.nahq.org/uploads/files/about/codestandards.pdf  [Code of Ethics and Standards of Practice for Healthcare Quality Professionals]·         http://www.jblearning.com/samples/076374526X/4526X_CH14_235_250.pdf [Health Care ethics]See alsoA Framework for Thinking EthicallyThis document is designed as an introduction to thinking ethically. We all have an image of our better selves-of how we are when we act ethically or are “at our best.” We probably also have an image of what an ethical community, an ethical business, an ethical government, or an ethical society should be. Ethics really has to do with all these levels-acting ethically as individuals, creating ethical organizations and governments, and making our society as a whole ethical in the way it treats everyone.What is Ethics?Simply stated, ethics refers to standards of behavior that tell us how human beings ought to act in the many situations in which they find themselves-as friends, parents, children, citizens, businesspeople, teachers, professionals, and so on.It is helpful to identify what ethics is NOT:·         • Ethics is not the same as feelings. Feelings provide important information for our ethical choices. Some people have highly developed habits that make them feel bad when they do something wrong, but many people feel good even though they are doing something wrong. And often our feelings will tell us it is uncomfortable to do the right thing if it is hard.·         • Ethics is not religion. Many people are not religious, but ethics applies to everyone. Most religions do advocate high ethical standards but sometimes do not address all the types of problems we face.·         • Ethics is not following the law. A good system of law does incorporate many ethical standards, but law can deviate from what is ethical. Law can become ethically corrupt, as some totalitarian regimes have made it. Law can be a function of power alone and designed to serve the interests of narrow groups. Law may have a difficult time designing or enforcing standards in some important areas, and may be slow to address new problems.·         • Ethics is not following culturally accepted norms. Some cultures are quite ethical, but others become corrupt -or blind to certain ethical concerns (as the United States was to slavery before the Civil War). “When in Rome, do as the Romans do” is not a satisfactory ethical standard.·         • Ethics is not science. Social and natural science can provide important data to help us make better ethical choices. But science alone does not tell us what we ought to do. Science may provide an explanation for what humans are like. But ethics provides reasons for how humans ought to act. And just because something is scientifically or technologically possible, it may not be ethical to do it.Why Identifying Ethical Standards is HardThere are two fundamental problems in identifying the ethical standards we are to follow:

1. On what do we base our ethical standards?

2. How do those standards get applied to specific situations we face?If our ethics are not based on feelings, religion, law, accepted social practice, or science, what are they based on? Many philosophers and ethicists have helped us answer this critical question. They have suggested at least five different sources of ethical standards we should use.Five Sources of Ethical StandardsThe Utilitarian Approach

Some ethicists emphasize that the ethical action is the one that provides the most good or does the least harm, or, to put it another way, produces the greatest balance of good over harm. The ethical corporate action, then, is the one that produces the greatest good and does the least harm for all who are affected-customers, employees, shareholders, the community, and the environment. Ethical warfare balances the good achieved in ending terrorism with the harm done to all parties through death, injuries, and destruction. The utilitarian approach deals with consequences; it tries both to increase the good done and to reduce the harm done.The Rights Approach

Other philosophers and ethicists suggest that the ethical action is the one that best protects and respects the moral rights of those affected. This approach starts from the belief that humans have a dignity based on their human nature per se or on their ability to choose freely what they do with their lives. On the basis of such dignity, they have a right to be treated as ends and not merely as means to other ends. The list of moral rights -including the rights to make one’s own choices about what kind of life to lead, to be told the truth, not to be injured, to a degree of privacy, and so on-is widely debated; some now argue that non-humans have rights, too. Also, it is often said that rights imply duties-in particular, the duty to respect others’ rights.The Fairness or Justice Approach

Aristotle and other Greek philosophers have contributed the idea that all equals should be treated equally. Today we use this idea to say that ethical actions treat all human beings equally-or if unequally, then fairly based on some standard that is defensible. We pay people more based on their harder work or the greater amount that they contribute to an organization, and say that is fair. But there is a debate over CEO salaries that are hundreds of times larger than the pay of others; many ask whether the huge disparity is based on a defensible standard or whether it is the result of an imbalance of power and hence is unfair.The Common Good Approach

The Greek philosophers have also contributed the notion that life in community is a good in itself and our actions should contribute to that life. This approach suggests that the interlocking relationships of society are the basis of ethical reasoning and that respect and compassion for all others-especially the vulnerable-are requirements of such reasoning. This approach also calls attention to the common conditions that are important to the welfare of everyone. This may be a system of laws, effective police and fire departments, health care, a public educational system, or even public recreational areas.The Virtue Approach

A very ancient approach to ethics is that ethical actions ought to be consistent with certain ideal virtues that provide for the full development of our humanity. These virtues are dispositions and habits that enable us to act according to the highest potential of our character and on behalf of values like truth and beauty. Honesty, courage, compassion, generosity, tolerance, love, fidelity, integrity, fairness, self-control, and prudence are all examples of virtues. Virtue ethics asks of any action, “What kind of person will I become if I do this?” or “Is this action consistent with my acting at my best?”Putting the Approaches TogetherEach of the approaches helps us determine what standards of behavior can be considered ethical. There are still problems to be solved, however.The first problem is that we may not agree on the content of some of these specific approaches. We may not all agree to the same set of human and civil rights.We may not agree on what constitutes the common good. We may not even agree on what is a good and what is a harm.The second problem is that the different approaches may not all answer the question “What is ethical?” in the same way. Nonetheless, each approach gives us important information with which to determine what is ethical in a particular circumstance. And much more often than not, the different approaches do lead to similar answers.Making DecisionsMaking good ethical decisions requires a trained sensitivity to ethical issues and a practiced method for exploring the ethical aspects of a decision and weighing the considerations that should impact our choice of a course of action. Having a method for ethical decision making is absolutely essential. When practiced regularly, the method becomes so familiar that we work through it automatically without consulting the specific steps.The more novel and difficult the ethical choice we face, the more we need to rely on discussion and dialogue with others about the dilemma. Only by careful exploration of the problem, aided by the insights and different perspectives of others, can we make good ethical choices in such situations.We have found the following framework for ethical decision making a useful method for exploring ethical dilemmas and identifying ethical courses of action.A Framework for Ethical Decision MakingRecognize an Ethical Issue1.      Could this decision or situation be damaging to someone or to some group? Does this decision involve a choice between a good and bad alternative, or perhaps between two “goods” or between two “bads”?2.      Is this issue about more than what is legal or what is most efficient? If so, how?Get the Facts3.      What are the relevant facts of the case? What facts are not known? Can I learn more about the situation? Do I know enough to make a decision?4.      What individuals and groups have an important stake in the outcome? Are some concerns more important? Why?5.      What are the options for acting? Have all the relevant persons and groups been consulted? Have I identified creative options?Evaluate Alternative Actions6.      Evaluate the options by asking the following questions:
·         Which option will produce the most good and do the least harm? (The Utilitarian Approach)·         Which option best respects the rights of all who have a stake? (The Rights Approach)·         Which option treats people equally or proportionately? (The Justice Approach)·         Which option best serves the community 

as a whole, not just some members? 

(The Common Good Approach)
·         Which option leads me to act as the sort of person I want to be? (The Virtue Approach)Make a Decision and Test It7.      Considering all these approaches, which option best addresses the situation?8.      If I told someone I respect-or told a television audience-which option I have chosen, what would they say?Act and Reflect on the Outcome9.      How can my decision be implemented with the greatest care and attention to the concerns of all stakeholders?10.  How did my decision turn out and what have I learned from this specific situation?This framework for thinking ethically is the product of dialogue and debate at the Markkula Center for Applied Ethics at Santa Clara University. Primary contributors include Manuel Velasquez, Dennis Moberg, Michael J. Meyer, Thomas Shanks, Margaret R. McLean, David DeCosse, Claire André, and Kirk O. Hanson. It was last revised in May 2009. 

5. What are the ways that nurses can use informatics to advance in a career?

Question Description

Please answer the following questions.

1. What is nursing informatics?

2. Do you think it is computer, information, or both

3. Why is informatics important to the nursing profession?

4. What are the reasons why every nurse needs to have informatics skills?

5. What are the ways that nurses can use informatics to advance in a career?

6. How has the Internet affected healthcare?

Word count: 100-150 for all 6 questions. 

If you have any question, please message me before posting your answer. I run all answers through multiple detection services for repeat answers. Please be original. Thanks in advance. 

The case scenario provided will be used to answer the discussion questions that follow.

Question Description

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Blood Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

  1. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
  2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.