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Select and analyze an ethical clinical incident of interest

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ED ETHICAL LOG Criteria: Select and analyze an ethical clinical incident of interest. Format the log as follows:

Part 1 – description of event (3 points).

Part 2 – thought processes during incident. Recall: What were you thinking? What did you think afterwards? (3 points).

Part 3 – supportive evidence citing the ANA Code of Ethics for Nursing. Include the moral principle involved in the situation, i.e. justice, autonomy, beneficence, nonmaleficence, fidelity, or veracity in your analysis. How was the code breached or maintained in the particular situation you are describing? (4 points).

Part 4 – evaluation of your thought process after the event. Is your thought process supported by the ANA Code of Ethics for Nursing? Your thought process may not have been accurate, which is OK, as long as this is documented in the entry with identification of corrected thought processes. Make recommendations for future practice (4 points).

References and citations should be in APA format with reference listed at end of text (1 point). The logs are confidential.

A woman brought in to resuscitation was weak and had slurred speech. It was suspected that she had a seizure and in post-ictal state. She was brought in for CT scan. There was another patient already on the CT scan table but she was told she will be excused because the resus patient takes priority According to justice in the nursing code all patient should be given equal right. As long as they both require to get the same service

Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism.

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Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:

  1. What is prime reality?
  2. What is the nature of the world around you?
  3. What is a human being?
  4. What happens to a person at death?
  5. Why is it possible to know anything at all?
  6. How do people know what is right or wrong?
  7. What is the meaning of human history?

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

RUBRIC:

Comprehension of Pertinent Terms

Several possible definitions of the term spirituality, including from the text, are clearly articulated and distinguished. Description of how spirituality is broadly defined in the context of scientism and postmodernism is provided and clearly demonstrates a grasp of the meaning of these concepts.

Personal Worldview Analysis

The analysis answers all seven questions thoughtfully and in a detailed manner. The analysis thoroughly explains the interconnection of the questions and their implications.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

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)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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#776564 Topic: Response to teacher pahophysiology Number of Pages: 1 (Double Spaced) Number of sources: 3 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing VIP Support: N/A Language Style: English (U.S.) Order Instructions: Thanks for your detailed post on the different types of pain. One factor to take into consideration with pain is age. With older adults, the most common causes of pain are musculoskeletal disorders. Pain may be chronic and is often multifactorial. The cause of pain may not always be clear. Treatment of pain in the elderly can be complicated. NSAIDs pose a risk for ulcers & GI bleed. The risk depends on drug dose and duration of therapy. When elderly patients are treated with NSAIDs the concomitant use of cytoprotective drugs, such as a proton pump inhibitor, may help reduce risk of ulcer or GI bleed. Indomethacin should be avoided in elderly since it may cause confusion in the elderly patient. Opioids have a longer half-life and may have a greater analgesic effect on older adults. Other problems with opioids includes constipation and urinary retention. What are some safe treatment options for pain in older adults?

Developing a Care Plan

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Instructions

Phase 5: Developing a Care Plan—Continued

Last week, you began working on a comprehensive care plan for the aggregate. The care plan is due this week.
Propose a nursing diagnosis and suggest interventions that address the major health risks identified from the risk assessment. In your care plan, include a list of disasters that may affect the aggregate and a disaster management plan.
Your comprehensive care plan should be in a 4- to 5-page Microsoft Word document.

Submission Details:

  • Name your document SU_NSG4075_W6_Project_LastName_FirstInitial_Phase5.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite all sources in APA.
  • Support your responses with examples.

Conduct a literature search to explore such words as planning, public health, and evaluation. Select an article on a health issue, disease, or an issue of your choice.

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Using the readings for this week, the South University Online Library, and the Internet to obtain scholarly articles and materials, research various public health planning programs such as the American Evaluation Association, Centers for Disease Control and Prevention (CDC), and Evaluation Exchange, and explore the framework of public health program planning. In this assignment, you will select a particular health issue or health disease (for example, heart disease, cancer, or obesity) to act as a main theme or topic in this course. The main theme or topic you chose in this assignment will be your focus for each assignment throughout the course.

Be sure to check with your instructor to make sure your selected topic is appropriate to use throughout the course.

Complete the following:

  • Conduct a literature search to explore such words as planning, public health, and evaluation. Select an article on a health issue, disease, or an issue of your choice.
  • After selecting your article, explain the public health program and evaluation process. Respond to the following giving examples from your research:
  • Define the significance of public health programs and address the saliency of the framework.
  • What are some conditions that you might use to conduct an evaluation? Explain in detail with a minimum of three examples.
  • Explain the logic model. Why are the contributions of program development, implementation, and evaluation vital to the model?

Write a 1–2-paragraph response. Comment on the postings of at least two peers with scholarly information.

Evaluation Criteria:

  • Explained the significance of public health programs including the saliency of the

minimizing Medicare fraud internally

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Required Reading

Berke, D. M. (2016). Drive-by-doctoring: Contractual issues and regulatory solutions to increase patient protection from surprise medical bills. American Journal of Law and Medicine, 42(1), 170-189. http://dx.doi.org/10.1177/0098858816644720

Computers, software; minimizing Medicare fraud internally. (2015). State & Local Health Law Weekly, 23.

DuBois, J. M., Walsh, H. A., Chibnall, J. T., Anderson, E. E., Eggers, M. R., Fowose, M., & Ziobrowski, H. (2017). Sexual violation of patients by physicians: A mixed-methods, exploratory analysis of 101 cases. Sexual Abuse: A Journal of Research and Treatment. ePub. Retrieved from: http://journals.sagepub.com/doi/pdf/10.1177/1079063217712217

Hospitals sued: Claims of sexual abuse, harassment. (2016, April 1) Healthcare Risk Management, 38(4). Retrieved from the Trident Online Library.

Kim, C. J. (2014). The trial of Conrad Murray: Prosecuting physicians for criminally negligent over-prescription. American Criminal Law Review 51(517). Retrieved from: http://www.americancriminallawreview.com/files/3214/0943/7056/Kim.pdf

Licensed professional counselors sentenced for roles in $9.5 million fraudulent billing health care fraud scheme to siphon and steal money from workers’ compensation program. (2016). Lanham: Federal Information & News Dispatch, Inc.

New Jersey Board of Medical Examiners imposes 5-year suspension on former prison doctor whose ‘gross negligence’ contributed to the death of state prison inmate in 2009 (2016, Aug 04). US Fed News Service. Retrieved from the Trident Online Library.

Showalter, J. S. (2015) Chapter 1: The Anglo-American legal system. In The law of healthcare administration. Chicago: Health Administration Press.

Showalter, J. S. (2015) Chapter 15: Fraud laws and corporate compliance. In The law of healthcare administration. Chicago: Health Administration Press.

Teegardin, C., Robbins, D., Ernsthausen, J., & Hart, A. (2016) Doctors & sexual abuse. The Atlanta Journal-Constitution. Retrieved from: http://doctors.ajc.com/

U.S. Department of Justice (2016, July 6). Dental management company Benevis and its affiliated Kool Smiles Dental Clinics to pay $23.9 million to settle False Claims Act allegations relating to medically unnecessary pediatric dental services. Retrieved from: https://www.justice.gov/opa/pr/dental-management-company-benevis-and-its-affiliated-kool-smiles-dental-clinics-pay-239

Optional Reading

Benevis, Kool Smiles to pay $23.9 million in settlement with Department of Justice. (2018, Jan 12). ADA News. Retrieved from https://www.ada.org/en/publications/ada-news/2018-archive/january/benevis-kool-smiles-to-pay-239-million-in-settlement-with-department-of-justice

Dance, S. (2014, Sep 03) Dando won’t face trial: Sexual assault charges dropped; doctor gives up his state license. The Baltimore Sun. Retrieved from the Trident Online Library.

Metrick, B. (2017, Mar 02). Doctor guilty of sexual assault, drugging. Public Opinion. Retrieved from the Trident Online Library.

Sanderson, S. (2018, Jan 26) Casper doctor found guilty of sexually assaulting patients. Casper Star Tribune. Retrieved from: http://trib.com/news/local/crime-and-courts/casper-doctor-found-guilty-of-sexually-assaulting-patients/article_e323fd54-ad21-5681-a70e-639d589274f0.html#tracking-source=home-top-story-1

Temecula doctor convicted of 25 charges in sexual assault case. (2017, March 1). Temecula Patch.Retrieved from: https://patch.com/california/temecula/temecula-doctor-convicted-25-charges-sexual-assault-case

Twohey, M. (2010, Apr 30) Women charged rape; doctor still practiced: Since 2000, 7 women have accused Dr. Bruce Sylvester Smith of sexual assault. Chicago Tribune. Retrieved from: http://www.chicagotribune.com/lifestyles/health/chi-100430doctor-story.html

HOMEWORK ASSIGNMENT:

The 2018 trial of gymnastics doctor Dr. Larry Nassar has shone a light on sexual abuse and misconduct by medical professionals. After reviewing the background literature, discuss the following in a 3- to 5-page paper.

  1. Choose a case focused on assault and/or sexual abuse from the background readings or from your own research and provide a brief synopsis of the case and the outcome.
  2. After reviewing State Report Cards, provide an analysis of the current state of protections for victims as well as penalties for perpetrators. Be sure to provide specific examples to support your analysis.

    State report cards retrieved from: Datar, S. (2016). State report cards: How well does your state protect patients? The Atlanta Journal-Constitution. Retrieved from: http://doctors.ajc.com/states/

  3. What are the ethical responsibilities of other professionals (colleagues, medical boards, employers, etc.) who may be aware of improper conduct by a medical provider? Be sure to discuss ethical principles covered earlier in the course.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Limit your response to a maximum of 3-5 pages.
  3. Support your paper with peer-reviewed articles and reliable sources, and use at least 3 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
    https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

Discuss the case against Benevis and Kool Smiles Dental Clinics. Be sure to explain the relationship between the two.

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Case: Criminal Law

Please view the Healthcare fraud: Billing for services not rendered video below (https://www.youtube.com/watch?v=1ZB2fueXn9g). Then read the case study below the video.

Benevis and Kool Smiles Dental Clinics have joined the ranks of medical professionals and businesses found guilty of defrauding the government. Using the background reading as well as other sources, research the case against this company. After completing your research, please respond to the following questions.

  1. Discuss the case against Benevis and Kool Smiles Dental Clinics. Be sure to explain the relationship between the two.
  2. What were the actual charges filed against them?
  3. What was the punishment?
  4. Discuss the final outcome of the case. Was it justified? Be sure to cite reliable sources to support your analysis.

Length: Submit a 3-page paper.

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Limit your response to a maximum of 3 pages.
  3. This should not be personal opinion (avoid the use of “I” in your paper).
  4. Support your paper with peer-reviewed articles and reliable sources, and use at least 3 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
    https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice.

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Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice.  I chose Essential VIII.

Essential VIII: PROFESSIONALISM AND PROFESSIONAL VALUES

In your post (intended to provide a clear and thorough answer), be sure to

identify the AACN BSN Essential that you have selected by name and number.

explain why you selected this Essential.

explain how this Essential will be used to improve quality in your future professional nursing career.

Clinical Case Presentation

Clinical Case Presentation

You can use the same case, but I need to add in the Soap NoteThe pathophysiology of the Diagnostic

students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years. See rubric in the syllabus section ..

clinical Case

CC: “Abdominal pain”

HPI: This is LR 57 y/o male Hispanic, refer abdominal pain in LLQ that started today at early in the morning, moderate intensity that radiated throughout the four quadrants, no nausea or vomiting,

Current medications: none

SH: Denies use drugs, tobacco or alcohol

Allergies: Shellfish, Iodine

ROS:

CONSTITUTIONAL: No fever, weight loss or chills

NEUROLOGIC: Denies changes in LOC.

HEENT: Denies any head injury, or change in LOC. Denies any changes in vision, diplopia or blurred vision. Denies pain in the ears. Denies loss of hearing or drainage. Denies nasal drainage, congestion. Denies throat or neck pain, hoarseness, difficulty swallowing.

Respiratory: Denies any SOB, congestion, or production of sputum.

Cardiovascular: Denies history of cardiac disease, abnormal EKG or chest pain. Denies dizziness or fatigue.

Gastrointestinal:Abdominal pain or discomfort LLQ, Denies flatulence, nausea, or vomiting.

BIOMETRICS & VS: T 98 F (oral) HR: 78 bmp RR 20 bmp

BP: 140/89 SPO2: 100 H: 5 f.9 in W: 169 Lb BMI: 25

Labs: CBC,and FOBT indicated, U/S of abdomen w/o contrast

Physical exam

GEN: No acute distress, alert, awake, and oriented times 4 (name, place, time, purpose), well nourished.

HEENT: mucous membranes moist, no pallor,no icterus

Cardiovascular: S1 and S2 RRR, no murmurs, no rubs

RESP: Clear to auscultation bilaterally, no rales/rhonchi/wheezes, no fremitus

ABD: Normal , no pulsate masses, bowel sounds present in four quadrants, Soft to touch, non distended, no rebound or guarding, no hepatosplenomegaly.

NEUROLOGIC: Cranial Nerve II through XII intact, no focal deficit. Sensation intact to bilateral upper and lower extremities. Bilateral

SKIN: Intact, no rashes, no lesions, no erythema,no dehydration sings.

GU: no inguinal hernia, no inguinal lymphadenopathy

Diagnosis:

Ulcerative Colitis

Differential Diagnosis:

Bowel obstruction : the abdominal pain occurs when the passage of normal GI contents is blocked. This usually occurs as a result of post-operative complications or simply constipation, nausea and vomiting are remarkable.

Mesenteric ischemia of the smoll intestine : The patient usually presents with rapid onset of severe periumbilical abdominal pain that is out of proportion tophysical exam findings in addition to nausea and vomiting.

Plan

mesalamine 0.5g 1 suppository rectal every 8 hours.

Teaching:

Eat small amounts of food throughout the day. Drink plenty of water (frequent consumption of small amounts throughout the day). Avoid foods rich in fiber (bran, beans, nuts, seeds and popcorn). Avoid fatty, greasy or fried foods and sauces (butter, margarine and thick cream)

Referrals: GI

Follow Up: 1 week

What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

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Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.

1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2. What is the next step in dealing with Isaac’s behaviors?

3. How will you, as the manager, have Isaac develop more effective people skills?

This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.

1. Discuss the potential impact of this problem on you and the unit staff.

2. Describe a minimum of one positive consequence and one negative consequence of this conflict.

3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.