Reflect back over the term. What one thing did you learn in the course that you were able to apply in your work during the term?  What one thing are you most looking forward to applying to your car

 Reflect back over the term. What one thing did you learn in the course that you were able to apply in your work during the term?  What one thing are you most looking forward to applying to your career in the future. What future trends may influence how nurses use evidence to improve the quality of patient care? 

Ethical principles guiding research

Full disclosureInformed consent

Institutional Review Board (IRB)

Risk/benefit assessment

Vulnerable groups.

Theory

Grand Theories

Middle range theories

Concepts

Framework

Transformational learning models

Iowa ModelJohns Hopkins Model   

THIS IS WHAT THE RESEARCH CLASS ENTAILED. 

(turnit in report requested)Instructions:As you have learned, the population segment aged 65 and older is rapidly aging in the United States. As a result, new ethical challenges are emerging in the fi

(turnit in report requested)

Instructions:

As you have learned, the population segment aged 65 and older is rapidly aging in the United States. As a result, new ethical challenges are emerging in the field, specifically in long-term care (i.e. skilled nursing facilities including those with post-surgical short-term rehabilitation services).

One area of concern is the challenge of providing adequate healthcare services to a growing (and aging) population with limited resources. This dilemma is expected to increase as the population continues to increase. As a result, the demand for medical services increases; however, with finite healthcare resources, providing services to everyone who requires care is not possible.

This will present a unique challenge for nursing home administrators because they are responsible to ensure that resident needs (including receiving healthcare services) are being met. Determining who should receive the necessary care that is available will be an interdisciplinary challenge indeed.

Scholars have posited a variety of allocation methods; however, these principles have not been without controversy. One of the most recent principles introduced is the Complete Lives System. This method is unique, because unlike its predecessors that relied on a unilateral perspective, the Complete Lives Systems takes a multi-allocation system approach.

In this unit, you will combine your previous knowledge obtained throughout the course and apply clinical reasoning to evaluate moral action and its relevance to ethical-decision making in long-term care. Using ethical decision-making, you will determine the best method of allocating limited medical resources to a growing and aging population. By the end of this unit, you will be able to analyze the effect ethics has on day-to-day operations as well as long-term policy and procedure in a healthcare environment.

Read the following articles from our library:

• Krütli, P., Rosemann, T., Törnblom, K. Y., & Smieszek, T. (2016). How to fairly allocate scarce medical resources: Ethical argumentation under scrutiny by health professionals and lay people. Plos ONE, 11(7), 1-18. doi:10.1371/journal.pone.0159086
• Persad, G., Wertheimer, A., & Emanuel, E. J. (2009). Department of Ethics: Principles for allocation of scarce medical interventions. The Lancet, 373, 423-431. doi:10.1016/S0140-6736(09)60137-9 

Please review the following resources and using specific information from these resources, your course materials, and additional research, address the tasks posed below.

Three individuals in town require a hip surgery, followed by extensive rehabilitative therapy. Physical and occupational therapy will be provided at the skilled nursing facility where the individual will reside until able to return home. Below are details of each individual.

• Donna Mueller is a 58-year old disabled widow with no children. She spent her career as a homemaker and taking care of her husband. Donna requires surgery after falling at home while washing windows. Prior to the accident, Donna was relatively independent, although a stroke a few years prior left her partially paralyzed. She lives alone and has minimal company over.
• Steve McDonald is 40-year old unemployed musician. He has a teenage son who lives with the son’s mother in a neighboring town. At the age of 19, Steve left college to pursue a career as a drummer. For the past two decades, Steve has worked odd jobs while pursuing his dream. Although his perseverance has not landed him national attention, he has performed with a few, known bands in the area. Recently, while exiting stage left from a nightclub performance, Steve tripped over the dark stairs and fractured his hip, ultimately leaving him unemployed as he is currently unable to perform.
• Chris Snider is a 73-year old entrepreneur and business owner. Never married, Chris spent his career in the fast-pace, produceor perish industry of nanotechnology where he employs over 5,000 workers ranging from maintenance technicians to senior research engineers. Chris requires surgery after being innocently hit with a runaway golf cart on the back 9 with his visiting, foreign affiliates. Chris was completely independent prior to the accident. He lives alone; however, his business requires travel.

In a 6-8 page paper (excluding title page and reference list), address the following:

• Considering the aging population and existing challenges, discuss the potential role of allocation principles in the American healthcare system.
• Discuss the potential implications these principles have on the aging population (consider potential violations of federal antidiscrimination laws and ethical principles about fair treatment).
• Based on the Complete Lives System, discuss which individual would most likely receive the surgery.
• Based on your moral compass, ethical standards, and healthcare laws, discuss which individual you would recommend for surgery.
• Recommend the one allocation principle you would prefer as the primary medical intervention for a growing (and aging) population.

Report your findings noting the following standards:

• Current APA formatting (e.g. title page, citations, conclusion, reference page, etc.) should be used.
• Proper grammar, spelling, and punctuation are expected.
• Plagiarism, self-plagiarism, unoriginal work, and unattributed content is not permitted and will result in action pursuant to the University’s Plagiarism Policy and Procedures.

Pharmacotherapeutics for DepressionMargo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and she is gaining weig

Pharmacotherapeutics for Depression

Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and she is gaining weight because she has no interest in her usual exercise activities and has been overeating, not from appetite but out of boredom. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicated she has moderate depression.

Your first line of treatment leads you to prescribe citalopram for Margo that she is to take daily and return for follow-up in 6 weeks.

· Write that prescription. (Be sure to indicate drug name, strength, amount per dose, route, frequency of dose, amount to dispense, allow generics, and number of refills.)

· Provide Margo with written education regarding her prescription. (Include what she should expect when first taking the drug, appropriate activity warnings, when to expect improvement, side effects she may experience, and anything she should report to the provider). Write this is a narrative form as though you were talking to the patient.

Strategic planning involves reciprocity of analysis and action. Over the previous weeks of this course, you have been examining foundational elements of the strategic planning process. As you move for

Strategic planning involves reciprocity of analysis and action. Over the previous weeks of this course, you have been examining foundational elements of the strategic planning process. As you move forward, you will apply these concepts to the development of a strategic plan.

Through the Course Project, you will identify an unmet need within a group, unit, or organization and develop a comprehensive strategic plan to address the need. You will develop your project over the next several weeks, culminating in Week 11.

Note: Your complete project will serve as your Portfolio Assignment for this course.

To prepare for the upcoming work on this project:

• Review the Course Project Overview in this week’s Learning Resources to become familiar with the project components and due dates.
• Reflect on the trends addressed in this week’s Discussion. Think about which of these trends, or any additional ones, stand out as being particularly relevant to your own interests and the professional contributions you would like to make now and in the future.
• Think about how one or more of these trends relates to an unmet need evident in a specific group, unit, or organization. For example, you might choose the unit in which you currently work or a professional association to which you belong.
• Consider how you could address this unmet need through strategic planning. What is your vision and goal(s)?
• Begin to analyze historical data and engage in forecasting to investigate opportunities for change.

Course Project: Developing a Strategic Plan

Section 1: Summary of the Issue

To prepare for and set the stage for your Course Project, this week you begin to develop a summary of the issue you will address through the creation of a strategic plan.

You may wish to review the Course Project Overview, which outlines the project components and due dates.

To prepare:

• Consider the information on strategic planning presented by Dr. Huston in this week’s media program, as well as in the other Learning Resources.
• Reflect on the unmet need you identified in this week’s Discussion, and consider any feedback you have received to your posting from your Instructor and colleagues. If appropriate, refine your focus to clarify the unmet need.
• In addition to the steps you took in preparation for the Discussion, proceed as follows:
• Investigate the background related to this unmet need. What conditions have contributed to this situation? Is there data (beyond what you identified for the Discussion) that should be examined?
• Conduct research to assess what has been attempted in the past, by various individuals or organizations, to address this unmet need.
• Think about any broader issues that should be examined to better understand this unmet need. For instance, consider economic, political, and/or social considerations.

Begin to draft your 2- to 3-page summary of the Issue (which will be submitted next week). In your summary, identify and/or describe:

• The unmet need and how it is evident in the specific group, unit, or organization
• The mission, vision, and values of the group, unit, or organization
• Background, including:
  • Data from historical analysis and forecasting
  • Evidence from the literature
  • What has been attempted in the past by various individuals and groups to address this need
  • Which stakeholders should be included in the strategic planning process
• Initial vision for addressing this need at the organizational or systems level, including at least one strategic goal
• Broader issues to be considered
• Course Project: Developing a Strategic PlanIn Week 6, you began to develop a summary of the issue you are addressing through your Course Project. This week, you continue to refine the summary and engage in a SWOT analysis related to the identified unmet need.Section 1: Summary of the IssueAs introduced in Week 6,continue to develop, write, and refine a 2- to 3-page summary of the issue you are addressing through the creation of a strategic plan. (Refer to Week 6 for the preparatory instructions as necessary).To complete:Create a 2- to 3-page summary of the issue, in which you identify and/or describe:
• The unmet need and how it is evident in the specific group, unit, or organization
• The mission, vision, and values of the group, unit, or organization
• Background, including:
  • Data from historical analysis and forecasting
  • Evidence from the literature
  • What has been attempted in the past by various individuals and groups to address this need
  • Which stakeholders should be included in the strategic planning process
• Initial vision for addressing this need at the institutional or systems level, including at least one strategic goal
• Broader issues to be considered
• Section 2: SWOT AnalysisConducting a SWOT analysis can have tremendous value in preparing for planned change.To prepare:
• Conduct a SWOT analysis for your Course Project, incorporating any insights you have gained from this week’s Discussion. Identify two strengths, two weaknesses, two opportunities, and two threats that warrant attention relative to the identified unmet need.
• Reflect on how you distinguished between weaknesses and threats and consider whether the threats or weaknesses also pose opportunities.
• To complete:Write a 2- to 3-page summary that conveys the results of your SWOT analysis. Include:
• Two strengths
• Two weaknesses
• Two opportunities
• Two threats
• An explanation of whether the threats or weaknesses also pose opportunities
• By Day 7Submit:
• Section 1: Summary of the Issue (2–3 pages)
• Section 2: SWOT Analysis (2–3 pages)

Define a work setting situation you have been involved in, either good or not so good, that allows you to demonstrate application of the concepts learned in this course i.e., leadership style, organiz

Define a work setting situation you have been involved in, either good or not so good, that allows you to demonstrate application of the concepts learned in this course i.e., leadership style, organizational culture, the change process and strategic planning, 

• What additional information would you collect to analyze the situation?
• Evaluate the culture of the organization
• Evaluate the leadership style
• What is the solution to the problem or what makes this situation so good?
• Make suggestions for implementing the best solution to resolve the problem or include what things were in place to make your situation a good one.
  • Utilizing the change process
  •  Identify strategic plan
• Conclusion, including what you have learned about organizational leadership that will influence your future practice.