Archive for category: My Nursing Writer

Explain the theory of the chosen ethical decision-making model as it relates to this scenario.
Choose an ethical decision-making model from among the following three discussed in the lecture and other readings

Choose an ethical decision-making model from among the following three discussed in the lecture and other readings (Scroll down to see the lecture): Nashs 12 Questions for Moral Choices, Kidders Ethical Checkpoints, and Uustals Ethical Decision-Making Model. Apply your chosen model to the following ethical dilemma: Your terminally ill patient told you at her last visit that, since her pain could no longer be completely controlled by any means, and in her opinion she was just waiting to die, she was going to Holland to participate in its physician-assisted suicide program. What would your advice to this patient be? In a 500-750 word paper, include a letter to your patient offering your insights and recommendations regarding this decision. In addition, following your letter, include a subsection in which you address the following when completing this assignment: 1. Explain the theory of the chosen ethical decision-making model as it relates to this scenario. What effect have this and other models had on medical practice over the years? 2. Should a doctor be able to end the life of an individual who is suffering and who has no hope of recovery? Why or why not? 3. How might a living will be used, or not, to guide an individual’s end of life decisions? 4. How does the use of technology complicate the dying process? 5. Include at least three scholarly, peer-reviewed references from the Library to support your positions (the sources are already attached to this assignment, please use them). Prepare this assignment according to the APA guidelines. An abstract is not required. This assignment uses a rubric (also attached). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Lecture: Ethical Decision Making in Health Care Just as health care providers utilize scientific methods to investigate the causes of disease and develop plans to address the physical needs of patients, health care professionals apply similar methods to objectively assess ethical dilemmas and determine a reasonable solution. Ethical decisions are reasoned choices based on: The dilemma itself The principles in conflict The people involved The outcome of the proposed action The ethical reasoning process selected When faced with an ethical dilemma, the following ethical questions must be answered: Who should be involved in the decision-making process? Who has the right to make the final decision? What ought to be done to address the dilemma? What harm or good will result from the decision? Who will benefit? Decision-Making Models Decision-making models offer clearly defined steps for decision-making that are based upon objective assessments of the dilemma at hand. Models most commonly applied to health care include: Nash’s 12 Questions for Moral Choices, Kidder’s Ethical Checkpoints, and Uustal’s Ethical Decision-Making Model. The following is a brief overview of each decision-making model. Nash’s 12 Questions for Moral Choices: Laura Nash (1981) 1. Have you defined the problem accurately? 2. How would you define the problem if you stood on the other side of the fence? 3. How did this situation occur in the first place? 4. To whom and what do you give your loyalties as a person and as a member of the (institution)? 5. What is your intention in making this decision? 6. How does this intention compare with the likely results? 7. Whom could your decision or action injure? 8. Can you engage the affected parties in a discussion of the problem before you make your decision? 9. Are you confident that your position will be as valid over a long period of time as it seems now?

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Description of at least six (6) appropriate nursing interventions utilized in caring for a client with the disease or condition.

Essay, Nursing

NURSING INTERVENTIONS WRITTEN ASSIGNMENT:
Each student is to complete a nursing interventions written assignment in this course. Content must include the following:
Introductory paragraph
Description of at least six (6) appropriate nursing interventions utilized in caring for a client with the disease or condition.
Reference to current research evidence, regulatory guideline and/or professional recommendation supporting the identified nursing interventions.
Concluding paragraph
Reference page
The majority of this paper should be about specific nursing interventions that a nurse can use to aid a client with a specific illness. This paper must be between 4-8 pages, double-spaced, using 12-point Times New Roman font and correct APA format. Students must cite a minimum of 3 resources for this paper. One resource must be from a journal, one from a textbook or professional source, and the third is the students choice. Although 3 references is the required minimum, additional resources may be used to further enhance this written assignment.

NURSING INTERVENTIONS WRITTEN ASSIGNMENT GRADING CRITERIA: GRADING COMPONENT POINTS POSSIBLE POINTS ACHIEVED
Title page is correct according to APA formatting and content.
5
Introduction clearly states intent and purpose of paper.
10
Nursing interventions (at least 6) are prioritized, addressed and clearly written.
25
Current research evidence and practice trends are included and written clearly.
20
Concluding paragraph clearly summarizes findings/opinions.
10
Paper is 4-8 pages in length (no longer) with proper APA formatting.
15
Reference page and any supporting pages are correct according to APA formatting.
5
Absence of spelling, grammatical and other errors.
10
TOTAL 100

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WHAT ARE THE ELIGIBILITY REQUIREMENTS FOR MEDICAID IN YOUR STATE?Imagine a close friend asked for your help. You are to research information about health insurance for this close friend.

Imagine a close friend asked for your help. You are to research information about health insurance for this close friend. She is 62 years old and her husband is 72 years old. He is in a rehab hospital following what she calls a “mild stroke”. Your friend is employed on a part-time basis as a waitress at a local coffee shop. Determine if they qualify for Medicaid in your state.

Locate an official government on-line source of information for the state you consider “home” (you might live there or it might be home to your family members). Find an additional source of insurance information from an advocacy or resource group for your state. To help determine eligibility, take a look at the current Federal Poverty (FPL) Guidelines. (Remember to identify your home state and include a link to your resource sites.)

A. 1. a.What are the eligibility requirements for Medicaid in your state? Are they both eligible for Medicaid in your state?

b. How much income (Social Security, wages, pension, interest, etc.) is allowed each month (as a Medicaid beneficiary)?

c. How much assets are they allowed? Which possessions count as assets?

2. Assuming eligibility, what benefits are available? Provide an overview of the assistance programs specific to their needs. She is considering home care services, an adult day health program, or the possibility of nursing home care.

B. Share your thoughts:

1. Are the sites user-friendly? Consider health care literacy standards. Also contemplate getting the information if you had an age-related limitation such as poor vision, limited hand function due to arthritis, or short term memory loss.

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Calculate the break-even point in visits with fixed costs at $4000, $6500, and $8500 per week. Given this analysis, as a manager, what would you recommend and why? (20 points)

8-1: TWO TYPES OF VISITS ARE PROVIDED BY THE DURHAM HEALTH CLINIC, FIRST-TIME VISITS AND RETURN VISITS. TABLE 8-5 (PAGE…

8-1: Two types of visits are provided by the Durham Health Clinic, first-time visits and return visits. Table 8-5 (page 155), provides the processing time for each work station and the available staff hours per week. Determine the production frontiers for this clinic and indicate which station should be expanded to increase the overall capacity of the clinic. Which service station could be reduced? (15 points)

8-2: Durham Health Clinic has a contribution margin of $35 per visit. Calculate the break-even point in visits with fixed costs at $4000, $6500, and $8500 per week. Given this analysis, as a manager, what would you recommend and why? (20 points)

8-3: Durham Health Clinic is considering signing a contract to perform 50 pre-employment physicals per week for a specific corporation. In terms of staff time, a pre-employment physical requires 0.20 hours in Reception/Discharge, 0.45 hours in Nursing and Testing, and 0.20 hours in Medical Examination. By work-station, determine how many work hours per week will be needed to perform these physicals. (15 points)

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Discuss how the master’s prepared nurse (depending upon the chosen track) can promote improvement in clinical quality outcomes

Since October 1, 2008, hospitals no longer receive additional payment for cases in which certain select conditions (e.g., foreign object obtained after surgery, urinary tract infection (UTI) were not present on admission.

Discuss how the master’s prepared nurse (depending upon the chosen track) can promote improvement in clinical quality outcomes and patient safety by incorporating proactive interventions that identify potential hospital acquired conditions (HAC). Be specific in the answer.

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