Archive for category: My Nursing Writer

Are there considerations of clinical research and education that might affect clinical decisions? Are there issues of public health and safety that affect clinical decisions?

Let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

The diversity movement suggests that there is strength in our differences and that our differences enhance each other. At the same time, the movement insists that our differences should not have economic, social, or political consequences. We are entitled to the same access to resources and opportunities regardless of our differences. The human suffering from Hurricane Katrina and the images of victims has stimulated the debate about differential access to resources.
Read the report Women in the Wake of the Storm: Examining the Post-Katrina Realities of the Women of New Orleans and the Gulf Coast. On the basis of your reading, create a report, answering the following:
• Discuss the prominent dimensions of diversity revealed as a result of the Hurricane Katrina disaster.
• Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.
• Describe the implications for healthcare organizations as a result of the disaster.
• Discuss at least of two of the policy implications that are outlined in the report. If you were given the task to add another policy recommendation what would it be and why?

Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

. .

The post Are there considerations of clinical research and education that might affect clinical decisions? Are there issues of public health and safety that affect clinical decisions? appeared first on My Nursing Writer.

Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.

Instructors, training on how to grade is within the Instructor Center.

Assignment 1: The Primary Care Clinic

Due Week 4 and worth 160 points

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

. .

The post Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services. Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center. appeared first on My Nursing Writer.

Explain the overall trend in the ultimate delivery of quality healthcare services and treatments.
According to Merriam-Webster Dictionary, a case study may be defined as a published report about a person, group, or situation that has been studied over time

According to Merriam-Webster Dictionary, a case study may be defined as a published report about a person, group, or situation that has been studied over time; a situation in real life that can be looked at or studied to learn about something
develop a 250-word count case study scenario related to any of the below topic of choice:• Antitrust• Patient Consent• Separation of Powers• Professional Liability
Question 2 You Hurt, I Sue2) The Institute of Medicine (IOM) report “To Err is Human” compared the daily number of patients victim to medical errors as the equivalent of a jetliner crashing. This alarming comparison, help push the prevention of medical errors and the concept of quality to the forefront; while the number of malpractice lawsuits continues to rise. Based on your interpretation of week eight assigned reading(s), in 250 words share your position on whether or not, a limit should be placed on malpractice awards? In addition, explain how, a medical malpractice suit serve as an opportunity to learn, grow and move forward in hopes of another occurrence.

Question 3 read the following White House Report titled “Trends in Health Care Cost Growth and The Role of the Affordable Care Act”. Upon reviewing the report, in a minimum of 250 words, explain the overall trend in the ultimate delivery of quality healthcare services and treatments. List and discuss the three payment-determination bases. Finally, identify what are the three factors that influence pricing?

. .

The post Explain the overall trend in the ultimate delivery of quality healthcare services and treatments. According to Merriam-Webster Dictionary, a case study may be defined as a published report about a person, group, or situation that has been studied over time appeared first on My Nursing Writer.

Pick a disorder of brain development (e.g., onset during childhood) or aging (e.g., dementia due to a neurodegenerative disorder).

Explain the symptoms, how the diagnosis is made (e.g., findings on brain imaging, laboratory testing, etc.), the neurobiological basis for the disorder .
Disorders of Development or Aging
Ashford University Discussion

Prior to beginning work on this discussion, read Chapters 15 and 17 in the course text, as well as the article titled “Ethical Considerations in Geriatric Neuropsychology,” and view Dr. Chung’s Ted Talk, Autism – what we know (and what we don’t know yet). Pick a disorder of brain development (e.g., onset during childhood) or aging (e.g., dementia due to a neurodegenerative disorder). Explain the symptoms, how the diagnosis is made (e.g., findings on brain imaging, laboratory testing, etc.), the neurobiological basis for the disorder (e.g., CNS structures involved and neurotransmitters), and current treatment options (including mechanism of action for any drug therapies). You must use a minimum of two peer-reviewed articles in your discussion to support your statements.

. .

The post Pick a disorder of brain development (e.g., onset during childhood) or aging (e.g., dementia due to a neurodegenerative disorder). appeared first on My Nursing Writer.

What can be done to limit software errors?In August 2003, the largest power blackout in North American history hit the northeastern United States and southeastern Canada. More than 50 million people lost power, some for up to two days.

The $6 Billion Software Bug
In August 2003, the largest power blackout in North American history hit the northeastern United States and southeastern Canada. More than 50 million people lost power, some for up to two days. At least 11 people died as a result of the blackout. Total cost: $6 billion. Investigators concluded that the initial problem started when a power line in Ohio sagged and hit an overgrown tree. Normally, this is an isolated incident. When such an incident occurs, alarm systems alert power systems operators of the problem so they can take appropriate steps to make sure that the problem remains isolated. Unfortunately, in this case, a software bug caused the alarm system to malfunction. This started a cascade of errors that led to more than 50 million people losing electrical power. The lack of power also led to water supply problems and the shutdown of major transportation systems, including railroads and airlines. Gas stations could not dispense fuel. Cell phone service was interrupted (although wired phones continued working).
While lack of proper maintenance was the root cause of the blackout, without the software bug, the impact would have been small and limited to relatively few people. With the software error, tens of millions of people were affected, and there were billions in economic costs.
There are many other examples of the serious consequences of faulty software:
In 2013, the Patient Protection and Affordable Care Act (Obamacare) went live, and as millions of Americans accessed the newly created exchange websites, the websites crashed and became nonresponsive. As a result, millions of dollars had to be spent to get the websites working properly.
In 2005, Toyota recalled more than 150,000 Prius hybrids to fix software that caused the gasoline engine to shut down unexpectedly.
In 2004, a software error disrupted communication at Los Angeles International Airport’s air traffic control system; 800 flights were disrupted. Fortunately, there were no midair collisions, although there were several near misses.
From 1985 to 1987, software errors in the Therac-25 radiation therapy device allowed the device to deliver lethal doses of radiation to patients. At least five patients died.
In 1990, an error in the control systems of AT&T’s long distance switches left 60,000 people without long-distance service.

Focusing Questions
Have you ever experienced software that did not operate correctly? What consequences did you experience?
What can be done to limit software errors?
Why is it important to catch software errors early in the development process?

. .

The post What can be done to limit software errors?In August 2003, the largest power blackout in North American history hit the northeastern United States and southeastern Canada. More than 50 million people lost power, some for up to two days. appeared first on My Nursing Writer.