Ethical Problems in Medicine and Biomedical and Behavioral Research

Ethical Problems in Medicine and Biomedical and Behavioral Research

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview Ethical Problems in Medicine and Biomedical and Behavioral Research.

ORDER A PLAGIARISM – FREE PAPER NOW

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would  George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

This assignment uses a rubric.You are required to submit this assignment to LopesWrite Ethical Problems in Medicine and Biomedical and Behavioral Research.

1. Bioethics: A Primer for Christians

Read Chapters 6 and 12 in Bioethics: A Primer for Christians.

http://gcumedia.com/digital-resources/wm-b-eerdmans-publishing-co/2013/bioethics_a-primer-for-christians_ebook_3e.php
2. Called to Care: A Christian Worldview for Nursing

Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death

Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).

https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1Ethical Problems in Medicine and Biomedical and Behavioral Research
Rubric

  1. Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  2. Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  3. Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
  4. Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  5. Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  6. Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
  7. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
  8. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
  9. Writer is clearly in command of standard, written, academic English. 5%
  10. All format elements are correct.5%
  11. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5% Ethical Problems in Medicine and Biomedical and Behavioral Research

Diabetes Mellitus Health Awareness Assignment

Diabetes Mellitus Health Awareness Assignment

Replies For Peers. Need ONE Response Per Each Discussion Total 2 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion

laudia Calderin

an hour ago, at 7:58 PM

 

Top of Form

Diabetes Mellitus

Health promotion programs are the procedures and initiatives in the health department that assist the country in achieving a better state of health. The health promotion program helps to fight against various diseases. Diabetes mellitus is the selected health promotion initiative that will focus on improving health. The program initiative will help mobilize various resources and support the authorities in reaching the roots of the actual problem. The mobilization of actual resources will help know the actual problem, plan the objectives and implement the plan to achieve the desired results (Kaur, 2018).

The final step is the tracking of results to take further action. The health program initiatives are of various types. They help the people access the problems and consult the healthcare practitioners as early as possible to achieve better results. MAP-IT framework will help mobilize the resources and achieve better outcomes (Mahmud, 2018).

 

MAP-IT Framework

ORDER A PLAGIARISM FREE PAPER NOW

The first step to assist the diabetes initiative program is to mobilize the community resources. The community members and stakeholders will be asked to help in the case. The community members include the nurses and doctors. The nurses will have the most prominent role to help in the diabetes program, and they will give the advice and screen the patients. The screening of patients will help detect diabetes at the early stage and help self-care in the patients.

Diabetes Mellitus Health Awareness Assignment

The next step is to know the problem that will the screening process and other diagnostic activities. The screening and other activities require the funds. The stakeholders will be contacted in the following regard, and the funds will be raised. The long-term objective of the diabetes mellitus initiative is to make the community free of diseases (Sanjari, 2019). The third step is to set the goals and implement the objectives. The nurses help the professional advice to the members of the community and further help the patients to overcome the diseases. In the last step, the patients are asked to take care of their homes, and it is an essential step for the patients to follow the guidelines. Dietary management should be good enough, and joint efforts should be made to make the community free of diabetes.

References

 

Sanjari, M., Aalaa, M., Amini, M. R., Mehrdad, N., Adibi, H., Esfahani, E. N., & Larijani, B. (2019). Conceptual map of diabetes education: necessity of establishing iran diabetes academy. Journal of Diabetes & Metabolic Disorders18(2), 729-731.

Mahmud, S. H., Hossin, M. A., Ahmed, M. R., Noori, S. R. H., & Sarkar, M. N. I. (2018, August). Machine learning-based unified framework for diabetes prediction. In Proceedings of the 2018 International Conference on Big Data Engineering and Technology (pp. 46-50).

Kaur, P., Sharma, N., Singh, A., & Gill, B. (2018, November). CI-PDF: A cloud IoT-based framework for diabetes prediction. In 2018 IEEE 9th Annual Information Technology, Electronics and Mobile Communication Conference (ICON) (pp. 654-660). IEEE.

Bottom of Form

Reply

Taymir Torres

2 hours ago, at 6:55 PM

 

NEW

Top of Form

Diabetes in Elderly Men

Resources of a health promotion program can be mobilized through sending proposals for funding, creating community awareness about the problem of diabetes among elderly men, community meetings, and recruitment of volunteers. The mission and vision of the program are developed collaboratively by the partners involved in the project. The mission defines what the initiative wants to accomplish, while the vision outlines where the community wants to be. The partners of the health promotion program would be community leaders, community health nurses, public health officials, and dietitians.

Diabetes is a major problem among men, which can be addressed by educating the community about a healthy lifestyle. Lifestyle changes are among the key interventions used in the management of diabetes (Galaviz et al., 2018). The long-term goal is to improve the quality of life of men with diabetes and reduce the mortality rate by 30% within three years. High-level of community engagement is associated with improved outcomes (Haldane, V., Chuah et al., 2019). Data can be collected through public health officials since they have community health data.

The objective of the program would include evaluating the lifestyles of men in the community, improving the knowledge of the community about healthy lifestyles, and improving the number of people in the community eating healthy and living active lives. The progress of the initiative would be measured by the number of people who would participate in the activities of the program, the number of people to participate in diabetes screening, the contribution of stakeholders, and the people who would intend to act after receiving the knowledge. Health literacy skills can be used to measure the progress of health promotion initiatives (Nutbeam et al., 2018).

Diabetes Mellitus Health Awareness Assignment

The work plan would include a calendar of events that would be conducted during the program implementation. The community health nurses would lead the training of community members about the benefits of healthy eating and active living. Public health officials would provide statistical data on the prevalence of the problem in the community, while community leaders will help mobilize the people for community gatherings in social halls. The meetings will take 2 hours with a break of 10 minutes. The focus of the program would be elderly men with diabetes. The participants would be required to state what they have learned at the end of each session to rate their understanding. The communication plan would include verbal communication as well as written strategies to guide the health educators and other stakeholders.

Regular evaluations of the progress would be conducted through an evaluation sheet that will be filled by the participants to evaluate the knowledge, willingness to alter their lifestyles and the lifestyle changes that have already been made. To ensure the quality of self-reported data, the participants would be assured of their anonymity, and their information would not be shared with others. The questions will be simple and easily understandable.

 

References

Galaviz, K. I., Narayan, K., Lobelo, F., & Weber, M. B. (2018). Lifestyle and the prevention of type 2 diabetes: A Status Report. American Journal of Lifestyle Medicine, 12(1), 4–20. https://doi.org/10.1177/1559827615619159

Haldane, V., Chuah, F., Srivastava, A., Singh, S. R., Koh, G., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PloS one, 14(5), e0216112. https://doi.org/10.1371/journal.pone.0216112

Nutbeam, D., McGill, B., & Premkumar, P. (2018). Improving health literacy in community populations: a review of progress. Health Promotion International, 33(5), 901-911. https://doi.org/10.1093/heapro/dax015

Bottom of Form

Top of Form

Diabetes Mellitus Health Awareness Assignment

The Conceptual-Theoretical-Empirical

The Conceptual-Theoretical-Empirical

Details:

Conceptual models, theories, and empirical indicators are linked and provide a nursing knowledge system to apply the model or theory to nursing practice, research, and education. Advanced-practice nurses are required to understand the linkages as applied to nursing and translate the components into practice.  To continue development of nursing knowledge, advanced practice nurses can create structure to test theory.

ORDER A PLAGIARISM – FREE PAPER NOW

General Guidelines: The Conceptual-Theoretical-Empirical

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center The Conceptual-Theoretical-Empirical.

Directions:

Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:

  1. Evaluation of the conceptual-theoretical-empirical linkages.
  2. Evaluation of the selected theory.
  3. Evaluation of the empirical indicators.
  4. Evaluation of research findings.
  5. Evaluation of the utility and soundness of the practice theory The Conceptual-Theoretical-Empirical.

The pole of nurse informatics discussion assignment

The pole of nurse informatics discussion assignment

Replies For Peers. Need ONE Response Per Each Discussion Total 2 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion

Top of Form

Ivon Hernandez

As a specialty, nursing informatics is a branch of IT in healthcare that incorporates the expansion of nursing knowledge, research, education, administration, data management, information organization, data collection, data analysis, computer science, and nursing science. It amalgamates various fields in IT, research, and healthcare to develop a comprehensive specialty that trains all-rounded nurses (McGonigle & Mastrian, 2018). Whether at an advanced or basic level, nursing informatics supports practice in all sites and settings, as well as all nursing specialties. Nursing informatics includes the development of structures, processes, tools, and applications that help manage data required to enhance care delivery.

Nursing informatics has several roles. As a project manager, the Informatic Nursing Specialist (INS) is responsible for planning and implementing projects; as a consultant, the INS gives advice and recommendations in the area of expertise. As an educator, the INS develops educational materials; as a researcher, the specialist conducts research to build new informatics knowledge. Other roles include product developer, advocate/policy developer, entrepreneur, outcomes manager, and clinical analyst specialist (McGonigle & Mastrian, 2018).

ORDER A PLAGIARISM FREE PAPER NOW

To qualify as a nursing informatics specialist, a person requires a bachelor’s degree (minimum academic requirement). A reputable and recognized BSN or RN course can propel an already registered nurse to cultivate the prerequisite competencies required to become a nursing informatics specialist (Mastrian, 2021). To develop tech-driven skills to excel in a nursing informatics role, it is advisable for one to enroll in a few technology or IT courses. Currently, many employers are encouraging applicants with advanced degrees, such as an MSc or PhD in nursing. One must be licensed by their respective state of practice (Mastrian, 2021). Licensing is only possible after completing the necessary degree from an approved nursing program. There are two possible certification options for nurses who want to specialize in NI; the first one is required to satisfy the board of examiners of the American Nurses Credentialing Center (ANCC), and the second one is sponsored by the Healthcare Information and Management Systems Society (HIMSS) (McGonigle & Mastrian, 2018). The pole of nurse informatics discussion assignment

References

Mastrian, K. G. (2021). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Bottom of Form

Top of Form

Bottom of Form

Bottom of Form

Taymir Torres

 

Nursing informatics supports the nursing practice and nursing care delivery through the use of technology in the management and processing of data and information. It combines and translates patient data to improve the quality, safety, efficiency, and accessibility of care. This field provides nursing students with an understanding of technology tools and their application in the science of nursing. Nursing informatics encompasses concepts from information and computer technologies integrated in nursing practice to improve patient care and the nursing profession (McGonigle & Mastrian, 2021).

According to Booth et al. (2021), the role of nursing informatics includes aiding to drive the application of technologies such as electronic health records (EHRs) in healthcare. It has helped to bridge the gap between healthcare and the use of technology. Its main priority is to focus on maintaining patient safety by impacting innovation. It supports patients, healthcare workers, and other decision-makers to achieve the desired outcomes through the use of information and technology. Nursing informatics uses technological data to monitor systems, programs, initiatives of patient care.

There are a variety of skills and qualifications that are required in this field. Eligibility requires a bachelor’s nursing degree or higher or in relevant field, should complete 30 hours of informatics nursing education within the last 3 years, and complete 2 years of practice as a registered nurse. Those who want to have advanced roles as nursing informaticists should hold degrees higher than a bachelor’s degree. The certification requirements are as follows one Should currently hold an active RN license in the United States. According to Monsen et al. (2019) nursing informatics certification is acquired from either Healthcare Information and Management Systems Society (HIMSS) or American Nurses Credentialing Center (ANCC). HIMSS offers two types of certification. These are Certified Associate in Healthcare Information Management System (CAHIMS) and Certified Professional in Healthcare Information and Management Systems (CPHIMS).

CAHIMS is offered to people who do not have a background education in nursing but have professional knowledge in healthcare information and management while CPHIMS is awarded to individuals who have background knowledge in nursing and they have advanced knowledge and understanding of informatics nursing (Monsen et.al, 2019). The ANCC offers the Registered Nurse Board Certified (RN-BC) type of certification that shows registered nurses have competency in nursing informatics. Meeting the education and certification requirements show that individuals are well informed and prepared for the next step in their nursing informatics career. The pole of nurse informatics discussion assignment

 

 

References

Booth, R., Strudwick, G., McMurray, J., Chan, R., Cotton, K., & Cooke, S. (2021). The future of nursing informatics in a digitally-enabled world. In Introduction to Nursing Informatics (pp. 395-417). Springer, Cham. https://doi.org/10.1007/978-3-030-58740-6_16

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.

Monsen, K. A., Bush, R. A., Jones, J., Manos, E. L., Skiba, D. J., & Johnson, S. B. (2019). Alignment of American association of colleges of nursing graduate-level nursing informatics competencies with American medical informatics association health informatics core competencies. CIN: Computers, Informatics, Nursing37(8), 396-404. https://doi.org/10.1097/CIN.0000000000000537

Bottom of Form The pole of nurse informatics discussion assignment

 

Establishing The Project Scope Assignment

Establishing The Project Scope Assignment

In 750-1,000 words, address the following:

  1. Identify the steps in developing a project scope.
  2. Evaluate the importance of the stakeholder’s understanding of in and out of project scope.
  3. Create the steps for how to identify high-level deliverables and key milestones.
  4. Identify the steps to create the completion criteria.
  5. Report the success criteria (completed within budget and on schedule).

Cite a minimum of three scholarly resources.  It must be published within the past 5 years and appropriate for health care and health informatics content.

 

ORDER A PLAGIARISM FREE PAPER NOW

In 750-1,000 words, address the following:

  1. Identify the steps in developing a project scope.
  2. Evaluate the importance of the stakeholder’s understanding of in and out of project scope.
  3. Create the steps for how to identify high-level deliverables and key milestones.
  4. Identify the steps to create the completion criteria.
  5. Report the success criteria (completed within budget and on schedule).

Cite a minimum of three scholarly resources.  It must be published within the past 5 years and appropriate for health care and health informatics content.

In 750-1,000 words, address the following:

  1. Identify the steps in developing a project scope.
  2. Evaluate the importance of the stakeholder’s understanding of in and out of project scope.
  3. Create the steps for how to identify high-level deliverables and key milestones.
  4. Identify the steps to create the completion criteria.
  5. Report the success criteria (completed within budget and on schedule).

Cite a minimum of three scholarly resources.  It must be published within the past 5 years and appropriate for health care and health informatics content.

In 750-1,000 words, address the following:

  1. Identify the steps in developing a project scope.
  2. Evaluate the importance of the stakeholder’s understanding of in and out of project scope.
  3. Create the steps for how to identify high-level deliverables and key milestones.
  4. Identify the steps to create the completion criteria.
  5. Report the success criteria (completed within budget and on schedule).

Cite a minimum of three scholarly resources.  It must be published within the past 5 years and appropriate for health care and health informatics content. Establishing The Project Scope Assignment

Patients with Impulsivity, Compulsivity, and Addiction Assignment 

Patients with Impulsivity, Compulsivity, and Addiction Assignment 

Assignment 1: Assessing and Treating Patients with Impulsivity, Compulsivity, and Addiction

Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.

In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

 

The Assignment: 5 pages

 

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

ORDER A PLAGIARISM FREE PAPER NOW

** Please address each bullet point for Decision # 1, 2 and 3**

 

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Patients with Impulsivity, Compulsivity, and Addiction Assignment 

 

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

 

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

 

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Patients with Impulsivity, Compulsivity, and Addiction Assignment 

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

 

Note: Support your rationale with a minimum of five academic resources.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Comorbid Addiction (ETOH and Gambling)
53-year-old Puerto Rican Female

 

BACKGROUND

Mrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.”

SUBJECTIVE

Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health.

She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.

Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know.

MENTAL STATUS EXAM

The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.

Diagnosis: Gambling disorder, alcohol use disorder

 

Patients with Impulsivity, Compulsivity, and Addiction Assignment 

 

 

 

Decision Point One

Select what you should do:

Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks

Antabuse (disulfiram) 250 mg orally daily

Campral (acamprosate) 666 mg orally three times/day

 

Decision Point One

Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks

RESULTS OF DECISION POINT ONE

  •  Client returns to clinic in four weeks
  •  Mrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injection
  •  Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling)
  •  Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned

 

Decision Point Two

Select what you should do next:

Add on Valium (diazepam) 5 mg orally TID/PRN/anxiety

Refer to a counselor to address gambling issues

Add on Chantix (varenicline) 1 mg orally BID

Decision Point Two

Refer to a counselor to address gambling issues

 

RESULTS OF DECISION POINT TWO

  •  Mrs. Perez returns in 4 weeks and reports that the anxiety that she had been experiencing is gone.
  •  She reports that she has met with the counselor, but she did not really like her.
  •  She also started going to a local meeting of Gamblers Anonymous. She states that last week, for the first time, she spoke during the meeting. She reports feeling supported in this group.

 

Decision Point Three

Select what you should do next:

Explore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings

Encourage Mrs. Perez to continue seeing her current counselor as well as continuing with the Gamblers Anonymous group

Discontinue Vivitrol. Encourage Mrs. Perez to continue seeing her counselor and to continue participating in the Gamblers Anonymous group

Decision Point Three

Explore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings

 

Guidance to Student

Although controversy exists in the literature regarding how long to maintain a client on Vivitrol, 8 weeks is probably too soon to consider discontinuation. The psychiatric mental health nurse practitioner should explore the issues that Mrs. Perez is having with her counselor. As will be covered in more depth in future courses, ruptures in the therapeutic alliance can result in clients stopping therapy. Clearly, if the client does not continue with therapy, the likelihood of the gambling problem spontaneously remitting is lower (than had the client continued to receive therapy). Recall that there are no FDA-approved treatments for gambling addiction. The mainstay of treatment for this disorder is counseling. Since Mrs. Perez reports good perceived support from the Gamblers Anonymous meetings, she should be encouraged to continue her participation with this group.

You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.

Patients with Impulsivity, Compulsivity, and Addiction Assignment 

Community Health Issues For Your Community

Community Health Issues For Your Community

You will complete this assignment using the following form:

  • N4465 Assignment Weeks 1 – 3 template-5_19.doc

Overview of Community Assessment and Community Health Nursing Intervention: Community assessment is a systemic way to determine the health status, resources or needs of a population. Community Health Nurses (CHN) assess the community by using the nursing process: Community Health Issues For Your Community

ORDER A PLAGIARISM – FREE PAPER NOW

  • Module 1: CH nurses gather subjective data (i.e. windshield survey and interviewing key informants). Based on this portion of the assignment you will analyze your findings and provide a summary of the key community health issues for your community.

APA focus for this paper: in-text citation of personal commutation, objective writing (avoid biased language), formal writing (avoid use of contractions, numbers, etc) and sentence structure, grammar and flow. Refer to the APA on-line tutorial (Links to an external site.), as needed.

See the Rubric in the Assignment Submission area to view grading criteria Community Health Issues For Your Community.

Commitment to Organizations Essay

Commitment to Organizations Essay

You have identified great organizations. You mentioned you are a member of the organizations but are you active with them? Are you part of a committee or participate in other organizational activities? Doing so can help build networking and help with participating in advocacy at a higher level.

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used

File that was submitted :

ORDER A PLAGIARISM FREE PAPER NOW

Commitment to the collective strength

Nurses’ political and advocacy activity strives to improve family and patient-centered healthcare outcomes. Nurses may strengthen their ability to influence policy and practice by working together to achieve positive results in all settings. According to Warner (2003), collective strength is a robust political competency that will guarantee nurses press for policies and endure all difficulties to ensure patients and their families access the finest healthcare possible. Nurses’ voices are louder when they are part of a larger group (Warner, 2003). They also provide advocacy advice and develop more solid recommendations that the political class cannot ignore. Commitment to Organizations Essay

By joining new nursing professional organizations in my state and country, I intend to demonstrate my dedication to collective strength. I’m currently a member of AANP, Florida Nurses Coalition, and ANA, which provide opportunities for registered nurses to participate in policy creation. According to studies, nurses’ participation in policy problems gets hampered by a lack of collectiveness. My voice will be more heard if I join professional groups with other nurses because I will have an association behind me, and our voices will be loud.

I’m also excited to begin implementing collective strength at my company. I have tried to get involved in politics for the past few years, throw some of my efforts have paid off, most of them have failed. I recognized that It’s critical to engage in collective political advocacy to be more effective. My strategy includes collaborating with my coworkers to advocate for healthcare reform. It also implies that we band together to advocate for our common interests and make our voices and proposals more persuasive. Working together makes it more accessible to develop a magnet status that will attract the hand of the politicians to improve healthcare in the community.

Question***

You have identified great organizations. You mentioned you are a member of the organizations but are you active with them? Are you part of a committee or participate in other organizational activities? Doing so can help build networking and help with participating in advocacy at a higher level.

 

Commitment to Organizations Essay

Health History and Medical Information

Health History and Medical Information

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below Health History and Medical Information.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD Health History and Medical Information.

ORDER A PLAGIARISM – FREE PAPER NOW

Subjective Data

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

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. 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.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin Health History and Medical Information.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. 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.
  4. 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 a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance Health History and Medical Information.

Case Study: Mrs. J.

No of Criteria: 12 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Clinical Manifestations of Mrs. J.10.0Clinical manifestations are omitted.Clinical manifestations are partially presented. There are major omissions and inaccuracies.Clinical manifestations are summarized. An overview of the general symptoms is presented. Some findings are incomplete.Subjective and objective clinical manifestations are described. Overall, the clinical manifestations are accurate and reflect observed and perceived signs and symptoms.Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.Evaluation of Nursing Interventions at Admissions10.0Evaluation of appropriateness of nursing interventions at the time of admission and explanation of the rationale for each of the medications listed are not discussed.Evaluation of appropriateness of nursing interventions at the time of admission is partially presented. An incomplete explanation for each of the medications listed is presented. The discussion contains significant inaccuracies.Evaluation of appropriateness of nursing interventions at the time of admission is summarized. A general explanation and some rationale for each of the medications listed are presented. There are minor inaccuracies.Evaluation of appropriateness of nursing interventions at the time of admission is discussed. An explanation and general rationale for each of the medications listed are presented. Some information is required for accuracy or clarity.Evaluation of appropriateness of nursing interventions at the time of admission is thoroughly discussed. A well-supported explanation for each of the medications listed is presented. Strong and compelling rationale is provided.Cardiovascular Conditions Leading to Heart Failure and Interventions10.0Fewer than three cardiovascular conditions that may lead to heart failure, and medical or nursing interventions to prevent the development of heart failure in each condition, are described.Four cardiovascular conditions that may lead to heart failure are partially described. Health History and Medical Information Medical or nursing interventions to prevent the development of heart failure in each condition are incomplete. There are significant inaccuracies.Four cardiovascular conditions that may lead to heart failure are summarized. Medical or nursing interventions to prevent the development of heart failure in each condition are generally discussed. There are some inaccuracies.Four cardiovascular conditions that may lead to heart failure are described. Medical and nursing interventions to prevent the development of heart failure in each condition are discussed. There are minor inaccuracies, or information is needed for clarity.Four cardiovascular conditions that may lead to heart failure are clearly described. Medical and nursing interventions to prevent the development of heart failure in each condition are discussed. Overall, the discussion demonstrates insight into medical and nursing interventions used to prevent heart failure.Nursing Interventions for Older Patients to Prevent Problems Caused by Multiple Drug Interactions10.0Fewer than three nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are presented.Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are partially presented.Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are summarized. Overall, the discussion meets assignment criteria but requires more rationale for the interventions. There are minor inaccuracies.Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are discussed. Overall, the discussion meets assignment criteria and general rationale for the interventions is provided.Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are discussed. The discussion fulfills the assignment criteria and strong rationale for the interventions is provided.Health Promotion and Restoration Teaching Plan15.0A health promotion and restoration teaching plan for the patient is omitted.A health promotion and restoration teaching plan for the patient is partially presented. Multidisciplinary resources for rehabilitation and any modifications that may be needed are omitted or incomplete. An explanation for how rehabilitation resources and modifications assist patient transition to independence is omitted or incomplete.A health promotion and restoration teaching plan for the patient is summarized. Multidisciplinary resources for rehabilitation and any modifications that may be needed are generally presented. A summary for how rehabilitation resources and modifications assist patient transition to independence is presented. There are minor inaccuracies.A health promotion and restoration teaching plan for the patient is presented. Multidisciplinary resources for rehabilitation and any modifications that may be needed are discussed. An explanation for how rehabilitation resources and modifications assist patient transition to independence is presented.A well-developed health promotion and restoration teaching plan for the patient is presented. Multidisciplinary resources for rehabilitation and any modifications that may be needed are clearly discussed. An strong explanation for how rehabilitation resources and modifications assist patient transition to independence is presented. The overall discussion is well-supported. Health History and Medical Information Method for Providing Education to Prevent Hospital Readmissions15.0A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is omitted. The method is not appropriate for the client or health status.A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is partially summarized. The method may not be relevant to for this situation. More information is needed. There are major inaccuracies.A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is summarized. The method is generally appropriate. Some rationale is provided for support.A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is described. Overall, the method is appropriate. General rationale is provided for support.A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is thoroughly described. The method is clearly appropriate for the client and prevents readmission. Strong rationale is provided for support.COPD Triggers and Options for Smoking Cessation10.0COPD triggers exacerbating return visits and options for smoking cessation are omitted.Some COPD triggers exacerbating return visits are partially presented. Options for smoking cessation are incomplete; it is unclear if the options are relevant to the patient.General COPD triggers exacerbating return visits are generally presented. Some options for smoking cessation relevant to the patient are summarized. Some support or information is needed.Key COPD triggers exacerbating return visits are outlined. General options for smoking cessation relevant to the patient are summarized.All appropriate COPD triggers exacerbating return visits are clearly outlined. Strong options for smoking cessation are detailed and are highly relevant to the patient.Organization, Effectiveness, and Format20.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100 Health History and Medical Information

Assessment and Management of Patients With Diabetes Assignment

Assessment and Management of Patients With Diabetes Assignment

Case Study, Chapter 51, Assessment and Management of Patients With Diabetes

 

 

  1. Sallie Smith, 42 years of age, is newly diagnosed with type 2 diabetes. During the patient education, the patient asks the nurse, “What should I do if I am sick and can’t eat; should I still take my medicine for the diabetes?” (Learning Objective 10)

 

 

  1. What management strategies should the nurse provide the patient to deal with “sick days?”

 

 

  1. Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14, and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2-day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible diabetic ketoacidosis (DKA). (Learning Objective 9)

 

 

  1. Describe the pathophysiology of DKA and why it occurs in patients with type 1 diabetes.

 

  1. Based on the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder?

 

  1. The physician orders a complete metabolic panel, and Jerry’s blood glucose is 425. Other lab values include a serum sodium of 152, serum potassium of 3.0, and BUN of 64. What is your assessment of these results?

ORDER A PLAGIARISM FREE PAPER NOW

  1. Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased. Assessment and Management of Patients With Diabetes Assignment

 

Case Study, Chapter 51, Assessment and Management of Patients With Diabetes

 

 

  1. Sallie Smith, 42 years of age, is newly diagnosed with type 2 diabetes. During the patient education, the patient asks the nurse, “What should I do if I am sick and can’t eat; should I still take my medicine for the diabetes?” (Learning Objective 10)

 

 

  1. What management strategies should the nurse provide the patient to deal with “sick days?”

 

 

  1. Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14, and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2-day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible diabetic ketoacidosis (DKA). (Learning Objective 9)

 

 

  1. Describe the pathophysiology of DKA and why it occurs in patients with type 1 diabetes.

 

  1. Based on the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder?

 

  1. The physician orders a complete metabolic panel, and Jerry’s blood glucose is 425. Other lab values include a serum sodium of 152, serum potassium of 3.0, and BUN of 64. What is your assessment of these results?

 

  1. Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased. Assessment and Management of Patients With Diabetes Assignment