​Advanced Practice Nursing Decisions that Cause Moral Distress

​Advanced Practice Nursing Decisions that Cause Moral Distress

Advanced Practice Nursing Decisions that Cause Moral Distress

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In the course, you will research ethical decision-making and legal issues that influence your role as a leader in your chosen field (Nurse Practitioner). Explain how you see your role as a nursing leader making ethical-legal and moral decisions. Identify strategies you plan to implement to solve moral distress caused by ethical dilemmas and the values that support your actions.

Needs to be 1 page. 3 current references from the past 3 yrs. Your postings should be qualitative and provide substantive depth that advances the discussion.

MN506 Purdue Ethical Dilemma on a Patient

MN506 Purdue Ethical Dilemma on a Patient

Case Scenario:

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Identify the ethical dilemma, legal violation, and moral issue in the scenario from an APN perspective as an educator, an Advance Nurse practitioner

Assignment Guidelines:

Using the options below based on your specialization, create an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of a nurse practitioner:

Practice Dilemma – Honesty versus Withholding Information
Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

Describe one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented. Support your paper with a minimum of three scholarly references.

This Assignment should be 3–4 pages in length, exclusive of cover page and references.Using only Evidence Base Practice Nursing scholarly journals that are recent.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
utilize spelling and grammar check to minimize errors; and
review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.)
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th edition formatting and citation style.

MN 507 Purdue Polypharmacy and Policy Process

MN 507 Purdue Polypharmacy and Policy Process

The incidence of PolyPharmacy, or the use of five or more medications on a daily basis, is common in the US particularly among the elderly population. It occurs for a variety of reasons, including the need to treat multiple conditions, the patient obtaining treatment from numerous physicians, and a lack of communication among those physicians about medications prescribed. PolyPharmacy increases the risk of adverse drug effects and increased costs to patients. Formulate a policy to reduce the practice of multiple drug prescriptions. What tools might be included in the design phase of the policy process to increase the probability of success? What research from other countries could be helpful in addressing this issue? Support your reasoning.

Needs to be 1 page. with 3 references from Evidence base practice journals. Articles from the past 3 yrs

Thanks

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MN507 Purdue Global Health Care Reform Law Issues

MN507 Purdue Global Health Care Reform Law Issues

Course Outcome covered in this Assignment:

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MN507-1: Analyze U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Directions

You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:

Health care reform..
You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:

The current policy structure.
The need for the change.
The suggested change.
Cost implications if the change is implemented.
The role the nurse as a change agent will take at the policy table.
Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA formatting and citation s
Please use evidence base scholarly journals, with recent references from the past 3 yrs

analyzes a healthcare policy issue relevant to the role of the nurse leader. Work clearly identifies the issue, explains the importance of the issue, proposes appropriate change, outlines the costs of the change, and advises the role the nurse leader will have with this change. Content is supported appropriately, and work displays a high level of critical thinking.

Culture in nursing

Culture in nursing

from the list of cultural and sociocultural groups, you select Heritage and prepare a PowerPoint presentation that is due at the end of week 8. Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources. This presentation should address the following: History, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices. In addition to describing these characteristics, the presentation must include: a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups b) a discussion of differential approaches needed by health care professionals The assignment will be posted in Turnitin for grading and verify originality, The assignment must be presented in an APA format, PowerPoint, Times New Roman 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”
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The Effectiveness of The Healthcare System

The Effectiveness of The Healthcare System

What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference

500 words, 2APA reference

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Health Care and The Affordable Care Act

Health Care and The Affordable Care Act

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

Key Features of the Affordable Care Act
Health Care Transformation: the Affordable Care Act and More
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

2 APA reference, 500 words.

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Healthcare Delivery system in The United States

Healthcare Delivery system in The United States

Research the current health care delivery system in the United States: it’s impact on health care of Americans, it’s impact on nursing practice and education and it’s impact on nursing leadership and management.

1 page, 2 references at least

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Hypertension case scenario: Critical thinking

Hypertension case scenario: Critical thinking

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

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Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Tags: nursing hypertension respiratory cardiovascular nursing intervention chronic heart failure Pulmonary crackles

Case Study 1

Case Study 1

Case Study 1 Case Study 1 Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the

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current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32% Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic cells Reticulocyte count = 1.5% Other laboratory values were within normal limits. Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale. © 2013. Grand Canyon University. All Rights Reserved.
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