Critical reflection is an extension of �critical thinking� and requires students to think about their practice and to examine their thinking by asking probing questions. Critical reflection moves beyond examining past situations and moves forward to apply theoretical knowledge to the future

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Critical reflection is an extension of �critical thinking� and requires students to think about their practice and to examine their thinking by asking probing questions. Critical reflection moves beyond examining past situations and moves forward to apply theoretical knowledge to the future. In this assignment students must ;
� choose one of the case world scenarios used in this topic to develop a written piece of work that demonstrates their capacity to critically analyse a patient situation.
� consider the following theoretical perspectives : pathophysiology, relevant pharmacology, anatomy and physiology best practice, inter-professional roles in patient centred care, lifespan and psychosocial issues and choose four (4) perspectives, from the chosen case world scenario for extended discussion within your assignment.
� demonstrate the capacity to think critically and relate theoretical concepts to clinical practice.
� use the following headings in the structure of their paper:

Introduction
� Purpose of this paper.
� Introduce the patient, and the scenario.
� Introduce the four chosen perspectives discussed in this paper.

Extended discussions of each of the four (4) chosen perspectives. How does theoretical knowledge of the four perspectives inform and support decisions made in clinical practice.
� Theoretical foundation of the chosen perspective
� Identify objective & subjective data
� Provide a brief rationale for each of the perspectives identified.
� How does the theory influence and inform care provided
� Demonstrate integration of knowledge to care provided:
o eg. best practice, patient centred care, pharmacology, inter-professional roles, lifespan and psychosocial issues, pathophysiology.
� Demonstrate understanding of the importance of Evidence Based Practice in nursing practice,
� demonstrate capacity to think critically and link theoretical concepts with clinical practice

 

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Research Issues to get a Paper on Medications

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Briefly describe the differences between hospice and death with dignity laws. Explain how these different perspectives on end-of-life issues might impact an end-of-life scenario.

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Normative and non-normative life events impact older adults and their abilities to copein dealing with significant change in health or a loss of a spouse. One such event, the end of life, can be considered normative or non-normative depending on the circumstances. The end of life can present difficult issues for family members. It’s a matter of perspective. Some people view death as a natural part of life, but for others, it can be a very controversial issue. Each family member has his or her own view regarding how end-of-life issues should be dealt with, and sometimes society doesn’t agree with those views
• Explain from a comparative standpoint how coping strategies may differ between older and younger adults. Research the coping strategies that older adults employ. How are these strategies used to deal with such stressors as the loss of a spouse or a significant change in health? Compare and contrast the coping strategies of older and younger adults.
• Briefly describe the differences between hospice and death with dignity laws. Explain how these different perspectives on end-of-life issues might impact an end-of-life scenario. Consider the perspectives of the individual who is dying, as well as the various family members. Include the Kübler-Ross model in your explanation.
Justify your answers with appropriate reasoning and research from your text and course readings. Comment on the postings of at least two peers, and provide an analysis of each peer’s postings while also suggesting specific additions or clarifications for improving the discussion question response.
Part 2:
Comorbidity is the presence of two or more conditions or diseases that occur at the same time. For older adults, geriatric depression seems to be comorbid with other health conditions such as congestive heart failure, chronic obstructive pulmonary disease (COPD), dementia, alcohol abuse, and diabetes. Another presenting issue is the onset of chronic disorders that cause dementia such as Alzheimer’s disease. Dementia is cognitive and functional impairment that results from several different diseases and conditions.Alzheimer’s disease is the most common cause of dementia. Although a relatively small number of cases of Alzheimer’s are diagnosed in individuals under the age of 60 (early-onset Alzheimer’s disease), late-onset Alzheimer’s disease (occurring in patients after age 60) is the more prevalent variety. The impact of Alzheimer’s disease, like the other chronic diseases that cause dementia, is significant not only for the individual but also for the family members as well.
• Explain why the rate of depression may be higher in older adults, based on the presence of comorbid conditions. Research statistical information regarding geriatric depression and describe some of the more common treatment options.
• Research the impact of Alzheimer’s disease on the family in regards to care-providing and socioeconomic costs. Explain how the family dynamics may change in relation to caring for a person with Alzheimer’s. Describe some of the psychological and emotional challenges a family member may face when caring for a person with Alzheimer’s disease.

 

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Outline how the 5/20 rule would be applied to at least two chronic diseases. For the diseases mentioned which nutrients should be reduced or increased?

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Complete the Food Label and Health assignment by providing a response of at least 300 words in APA format to this assignment. Include the following:

1. Discuss what the 5/20 rule is according to the Food Label and You video. Include an example of a food label from your own pantry, clearly stating how the rule applies to specific nutrients on the food label.

2. Outline how the 5/20 rule would be applied to at least two chronic diseases. For the diseases mentioned which nutrients should be reduced or increased?

3. Discuss the proposed Food Label changes outlined in the Textbook explaining how the changes would help consumers understand food labels more effectively.

4. Examine the food labels for three food items in your own pantry or refrigerator. Name the food products and build a list or a chart, indicating the following components:

a. Total calories per serving

b. Percentage of calories from fat

c. Total amount of carbohydrates (in grams)

d. Total amount of protein (in grams)

e. Total amount of fiber (in grams)

5. From your knowledge of nutrient intake and their associated chronic disease risk, are there changes you would make for the food labels examined?

 

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Analyze the four (4) elements required of a plaintiff to prove medical negligence.

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You are employed as a top health administrator at the hypothetical Well Care Hospital in Happy Town. When you were hired, your pre-employment screening involved background checks into any violation of hospital medical misconduct during the last five (5) years. The results showed that you were in good standing with the hospital administration community. During the past year, you had to undergo training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, technologists, etc. During the past six (6) months, the hospital has been under scrutiny for breach of medical compliance.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
Articulate your position as the top administrator concerned about the importance of professional conduct within the health care setting. Justify your position.
Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct.
Analyze the four (4) elements required of a plaintiff to prove medical negligence.
Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto

 

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Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

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National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:

� Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT
� Patient falls
� Surgical patient complications, including infection, pulmonary failure, and metabolic derangement
� Length of patient hospital stay
� Restraint prevalence
� Incidence of failure to rescue, which could potentially result in increased morbidity or mortality
� Patient satisfaction
� Nurse satisfaction and staffing

Scenario:

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J�s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, �Oh, that is not anything to worry about. It will go away as soon as he gets up.� The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was �regular, kosher, chopped meat.� The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, �regular, chopped meat.� The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, �Just keep it quiet. It will be okay.� The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient�s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient�s daughter, �I�m so sorry about the pork cutlet last night.� The daughter asked what had happened and was told that there had been �a mix up in the order.� The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, �Half a pork cutlet never killed anyone.�

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town�s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

Task:

Analyze the scenario (suggested length of 2�3 pages) by doing the following:

A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.

D. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:
� Author
� Date
� Title
� Location of information (e.g., publisher, journal, or website URL)

 

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. Discuss the following: The level of current health care expenditures. Is the level of spending appropriate?

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Write a 1,050 paper in which you explain your position on health care spending in the United States. Discuss the following: The level of current health care expenditures. Is the level of spending appropriate? Indicate where spending should be added or cut. Discuss why? How the public’s health care needs are paid for? Identify various payers and indicate the percent of total expenditures they represent. Provide a forecast of the following: The future economic needs of the health care system Why these needs must be addressed How you envision these needs will be financed Format your paper consistent with APA guidelines.

 

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How would you apply the information from this article to your change project (introducing a policy and procedure for prescription refill replies with in 24 hour from the time Phramacy called with scheduled follow up visitsand to your role as a nurse administrator?

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Question 1. Developing an Evidenced Based Practice

Using the information in chapter 19, how will you go about developing an evidence based practice?

200 word count

Question 2 SMART Goals Guide

200 word count

(2) references needed

Explore the SMART Goals Guide website.
Discover more about what SMART goals are and how to set your own SMART goals. How can this help in my project . In producing a policy and procedure as to reply to prescription refilled calling the Pharmacy within a 24 hour time
.

Question 3.
Visualizing SMART Goals

200 word count
2 reference needed

What are SMART Goals

What are your SMART goals and how are they visualized as a “tree” diagram?

Question 4 Nursing Research (Article)

200 word count

1st Reference: Selvaambigai, V. R. (2012). Infusing nursing research into practice for quality care. Nursing Journal of India, 103(2), 77-78.
2nd Reference needed
Read and summarize the article above
How would you apply the information from this article to your change project (introducing a policy and procedure for prescription refill replies with in 24 hour from the time Phramacy called with scheduled follow up visitsand to your role as a nurse administrator?

 

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Discover more about what SMART goals are and how to set your own SMART goals. How can this help in my project . In producing a policy and procedure as to reply to prescription refilled calling the Pharmacy within a 24 hour time

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Week 7 Questions
Question 1. Developing an Evidenced Based Practice

Using the information in chapter 19, how will you go about developing an evidence based practice?

200 word count

Question 2 SMART Goals Guide

200 word count

(2) references needed

Explore the SMART Goals Guide website.
Discover more about what SMART goals are and how to set your own SMART goals. How can this help in my project . In producing a policy and procedure as to reply to prescription refilled calling the Pharmacy within a 24 hour time
.

Question 3.
Visualizing SMART Goals

200 word count
2 reference needed

What are SMART Goals

What are your SMART goals and how are they visualized as a “tree” diagram?

Question 4 Nursing Research (Article)

200 word count

1st Reference: Selvaambigai, V. R. (2012). Infusing nursing research into practice for quality care. Nursing Journal of India, 103(2), 77-78.
2nd Reference needed
Read and summarize the article above
How would you apply the information from this article to your change project (introducing a policy and procedure for prescription refill replies with in 24 hour from the time Phramacy called with scheduled follow up visitsand to your role as a nurse administrator?

 

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• Define a single-payer system and identify a country where it is used.

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Assignment 2: Single-Payer Healthcare
The 2010 Patient Protection and Affordable Care Act (ACA) was implemented primarily to provide access to health insurance for those who would not otherwise be insured. The ACA is not designed as a single-payer healthcare system although some of its architects as well as its detractors see the ACA as steering the United States toward one.
Research the single-payer approach to healthcare delivery using your textbook, the Argosy University online library resources, and the Internet.
In a 4-5-page paper, address the following:
• Define a single-payer system and identify a country where it is used.
• Using demonstrated research findings, describe the strengths and weaknesses of a single-payer healthcare system.
• Based on your current situation in terms of healthcare coverage (insured by an employer, covered under a parent’s or spouse’s policy, receiving government benefits, uninsured, etc.), explain how a single-payer plan would affect how you receive healthcare. Do you favor a single-payer approach? Why, or why not?
• If you were to design a single-payer system, explain how you would address the challenges.
Write a 4-5-page paper in Word format.

 

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