Archive for category: My Nursing Writer

Discuss (suggested length of 1–2 pages) two alternative actions that could affect the patient outcome.

Nurses are confronted with ethical decisions every day, ranging from decisions about routine vaccination to issues of death and dying. It is important, therefore, that nurses know how to analyze a bioethical issue based on nursing ethical values, principles, and facts in order not only to make ethical decisions about their practice but also to help support patients and families as they struggle with ethical decisions.

Scenario:

Matt, a 20-year-old white male, was brought into the emergency department unconscious with a needle protruding from a vein in his left forearm. It was determined from his lab work that he had been taking opiates, and a heroin overdose was suspected. After Matt was intubated and placed on mechanical ventilation, he was stabilized and transferred to the intensive care unit. Matt’s family was notified, and they rushed to his bedside within a half hour. After speaking with the physician, the family told the healthcare team that they wanted to do everything possible to save their son’s life.

An hour later, Matt’s heart stopped, and after a full code, Matt was stabilized but was still not breathing on his own. Matt’s heart stopped two more times over a span of three hours. Dark blood was becoming visible in the suctioning canister, but Matt remained in a full code status, and the family refused to assign him a “Do Not Resuscitate” (DNR) status after five codes.

Currently, the physician does not want the patient to have any further resuscitation. EEG shows no brain activity. The nurse is torn between supporting the family and following through with the physician’s desires. The nurse manager informs the nurse that she should do as the physician says. The nurse also dislikes caring for drug abuse patients. The patient did not have a DNR order on file. If he had a DNR, there would have been an agency policy to follow it. The hospital also has an ethics committee.

Task:

A. Analyze (suggested length of 1–2 pages) the bioethical issues found within the scenario.

1. Provide relevant facts that relate to the issues.

2. Discuss how the nurse and the family members have ownership in the given scenario.

3. Discuss how the ethical principles of autonomy, beneficence, and non-maleficence relate to the given scenario.

B. Analyze (suggested length of 1–2 pages) two bioethical issues in the given scenario in terms of a specific ethical theory of your choice.

1. (principle-, relationship-, or consequence-based).

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.Discuss the development of new drugs in the United States as compared to other countries, and evaluate the pharmacoeconomic issues that lead to high prescription costs in the United States
Write 2 paragraphs for each prompt.

Use at least one scholarly source and evidence-based research in support of your ideas.

Nursing Advanced Pharmacology

1.Discuss the development of new drugs in the United States as compared to other countries, and evaluate the pharmacoeconomic issues that lead to high prescription costs in the United States

2. Discuss the pharmacological aspects of Benzodiazepine . Give examples of how and when this drug is used.

Nursing Advanced Physiology and Pathophysiology

1.Describe the clinical manifestations, similarities, and differences of the following vitamin deficiencies: niacin, riboflavin (B2), thiamine (B1), folate, vitamin B12, vitamin B6,pantothenic acid (B5), biotin, vitamin C, vitamin K, vitamin E, vitamin A, and vitamin D.

2.Discuss the inherited mutation genes BRCA and BRCA 2, their prevalence, risks for different cancers, and recommended surveillance screenings for those with a confirmed genetically inherited mutation

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Cultural competency is a fundamental process that nurses use to gather information, assess needs, and plan actions.

Background and Instructions
Cultural competency is a fundamental process that nurses use to gather information, assess needs, and plan actions. For this assignment, you will build upon some of your previous coursework by designing an in-service program for nurses and other health care workers, in the form a PowerPoint presentation and present it your fellow learners using Kaltura Media or similar software.
The in-service program will focus on the provision of culturally competent health care for your chosen population. The purpose of this assignment is to design a professional development in-service program for nurses and other health care workers. The program will focus on the provision of culturally competent health care, based on the identified health care need for your chosen population. Your professional development program will discuss three parts:

Part 1 – Provides a review and summary of your chosen cultural population group.
Part 2 – Applies cultural competence framework as a framework for your in-service presentation for nurses and other health care workers.
Part 3 – Provides plan for implementation of a cultural competence program for nurses and other health care workers.

For this assignment, create a PowerPoint presentation (not more than seven slides) that includes the three parts given below.
Part 1: Overview and Cultural Background of Population Group
In this part:

Examine your chosen cultural population group, including its key characteristics, language, cultural traditions, beliefs and values, and attitudes toward health care. This section of your assignment should emphasize the importance of cultural competence for this particular population.
Discuss identified health care needs and concerns specific to your chosen population, including predispositions toward any diseases or health care issues.
Define the health care need or concern you have chosen to base your professional development program on, and discuss the implications of each area to this need.

Part 2: Application of Cultural Competence Framework
In this part:

Explain how you will use a culturally competent framework for your professional development program.
Evaluate how the identified health care need is being met by current health care system.
Assess what cultural and traditional needs are not currently being met by the health care system.
Assess how culturally competent communication and collaboration can be promoted among health care workers.

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What advantages or disadvantages do you see in using both types of methods in a nursing study?The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability.

The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

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PLEASE MAKE SURE THE INTRODUCTION 100 WORDS AND CONCLUSION 100 WORDS
Assessment task 1: Analysis of organisational structure and design

Intent: This assessment item focusses on understanding the concepts of organisational structure and design within the healthcare environment.
Objective(s): This assessment task addresses subject learning objective(s):
A, C and D
This assessment task contributes to the development of graduate attribute(s):
1.1 and 1.2
Type: Essay
Groupwork: Individual
Weight: 30%
Task: Choose one of the following topic options.
A. Discuss the organisational characteristics that would suggest to a manager there is a problem with the design of a healthcare organisation.
B. Discuss the relationship between span of control and the extent to which an organisation is flat or tall, and why many major healthcare organisations are flattening their structures.
C. A major decision in organisational structuring is whether and how to centralise. Discuss the importance of centralisation-decentralisation for achieving health service outcomes.
Length: 1000 words (essay style)
Due: 10.00pm Tuesday 8 September 2015
Criteria: 30% Analyses and reframes the issue within the context of organisational elements demonstrating a depth of knowledge 40% Assesses the impact of the issue on human resource management and/or organisational performance clearly and succinctly 10% Formulates a clear and logical approach to analysis of the issue 10% Validates perspectives through correct interpretation and explicit linkage of relevant and current literature (> year 2004) to the assessment focus 10% Produces correct grammar, spelling, formatting, style (essay), and referencing

Subject objectives Upon successful completion of this subject students should be able to:
A. Explain the key elements in organisational structures, processes and cultures in terms of their implications for management roles and effective management practices;
C. Critically appraise selected aspects of organisations which may impact on human resource management, financial management and organisational performance;
D. Create a variety of ways in which complex issues can be effectively communicated for a variety of target audiences.
This subject also contributes specifically to the following graduate attributes:
Critique, interpret and synthesise data and research findings to develop safe, effective and evidence-based solutions to healthcare challenges. (1.1)
Propose relevant problem solving and human factors theories to the analysis of common issues inherent in the management and evaluation of healthcare services . (1.2)
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