Author: admin

NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template

Discussion – Week 2

Strategies for Addressing Questions

In Module 1, you began building a foundation for your success by considering a network-individuals and teams who can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can now be helpful. NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template.

In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions even if they do not realize it!

To prepare:

Reflect on questions or concerns you might have as you begin the MSN program.

Consider the individuals, teams, and departments you previously considered in Module 1 as well as how they may provide support with addressing these questions and concerns.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

 

Excellent

Good

Fair

Poor

Main Posting

45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

 

Supported by at least three current, credible sources.

 

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template

40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

 

At least 75% of post has exceptional depth and breadth.

 

Supported by at least three credible sources.

 

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

 

One or two criteria are not addressed or are superficially addressed.

 

Is somewhat lacking reflection and critical analysis and synthesis.

 

Somewhat represents knowledge gained from the course readings for the module.

 

Post is cited with two credible sources.

 

Written somewhat concisely; may contain more than two spelling or grammatical errors.

 

Contains some APA formatting errors.

0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

 

Lacks depth or superficially addresses criteria.

 

Lacks reflection and critical analysis and synthesis.

 

Does not represent knowledge gained from the course readings for the module.

 

Contains only one or no credible sources.

 

Not written clearly or concisely.

 

Contains more than two spelling or grammatical errors.

 

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

10 (10%) – 10 (10%)

Posts main post by day 3.

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

Does not post by day 3.

First Response

17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

 

Responds fully to questions posed by faculty.

 

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

 

Demonstrates synthesis and understanding of learning objectives.

 

Communication is professional and respectful to colleagues.

 

Responses to faculty questions are fully answered, if posed.

 

Response is effectively written in standard, edited English.

15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

 

Communication is professional and respectful to colleagues.

 

Responses to faculty questions are answered, if posed.

 

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

 

Response is effectively written in standard, edited English.

13 (13%) – 14 (14%)

Response is on topic and may have some depth.

 

Responses posted in the discussion may lack effective professional communication.

 

Responses to faculty questions are somewhat answered, if posed.

 

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

 

Responses posted in the discussion lack effective professional communication.

 

Responses to faculty questions are missing.

 

No credible sources are cited.

Second Response

16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

 

Responds fully to questions posed by faculty.

 

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

 

Demonstrates synthesis and understanding of learning objectives.

 

Communication is professional and respectful to colleagues.

 

Responses to faculty questions are fully answered, if posed.

 

Response is effectively written in standard, edited English.

14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

 

Communication is professional and respectful to colleagues.

 

Responses to faculty questions are answered, if posed.

 

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

 

Response is effectively written in standard, edited English.

12 (12%) – 13 (13%)

Response is on topic and may have some depth.

 

Responses posted in the discussion may lack effective professional communication.

 

Responses to faculty questions are somewhat answered, if posed.

 

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

 

Responses posted in the discussion lack effective professional communication.

 

Responses to faculty questions are missing.

 

No credible sources are cited.

Participation

5 (5%) – 5 (5%)

Meets requirements for participation by posting on three different days.

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100 NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template

Name: 
NURS_6003_Module02_Week02_Discussion_Rubric

 

 

Academic and Professional Success Plan Template

 

Prepared by

 

x

 

 

.

 

 

NETWORK MEMBER 1

 

Name:
x

 

Title:
Psychiatric Mental Health Nurse Practitioner

 

Organization:
x

 

Academic or Professional:
Professional

 

I choose x because she is very passionate about mentoring and providing knowledgeable information to other. she has help me along my journey as a BSN student, and is willing to continue her support academically as my preceptor in time to come. NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template.

 

Notes:
Reliable and efficient in her field.

 

 

 

 

 

NETWORK MEMBER 2

 

Name:xx

 

 

Title:
Director of Nursing

 

 

Organization:
x

 

 

Academic or Professional:
Professional

 

I worked as a nursing supervisor with x as the DON for many years. she has encouraged me to further my education, providing instructive information resources, and networking strategies throughout our time working together.

 

Notes:
She creates a positive work environment for professional growth

 

 

 

NETWORK MEMBER 3

 

Name:
xxx

 

 

Title
:  Registered Nurses

 

Organization:

 

 

Academic or Professional
: Professional

 

Over the years we have built a great a relationship, working together as a team, supporting each other dreams in the field of nursing.  Enrolling in universities together, attending workshops and seminars. We also join professional organizations to keep up with new trans in nursing and remain up to date. NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template

 

Notes:
Together we are a solid TEAM

 

 

NETWORK MEMBER 4

 

Name:
Facebook groups, student success advisors, and Walden library

 

Title

 

Organization:
Walden University

 

Academic or Professional:
Academic

 

Walden university provides students with wealth of information for success. The student’s success advisors are also there to guild student into the right path. Facebook groups are another way to network with peers, sharing ideas and information. Students used the Facebook platform to also help each other navigate and understand course work. Walden library has all the resources to assist students with research, books, publications and articles. NURS 6003 – Strategies for Addressing MSN program Questions – Academic and Professional Success Plan Template

AGACNP, AGPCNP, FNP, PMHNP Practicum Experience – Journal Entry

Assignment: Practicum Experience – Journal Entry

To prepare for this course’s Practicum Experience, address the following in your first Practicum Journal:

Select and describe a nursing theory to guide your practice.

Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind. AGACNP, AGPCNP, FNP, PMHNP Practicum Experience – Journal Entry.

Create a timeline of practicum activities based on your practicum requirements

In a one-page journal entry (250-300 words), you should do the following:

Describe your practicum goals and objectives using the seven domains of practice

Discuss a nursing theory that would be used to guide your practice.

Include APA-style citations and references

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

•You should reflect and prepare learning goals and objectives for the course

–Review the course objectives

–Review the preceptor evaluation of student

–Review the Competencies for your specialty (AGACNP, AGPCNP, FNP, PMHNP) by visiting the following sites:

•Core Competencies for nurse practitioners http://nonpf.com/associations/10789/files/NPCoreCompetenciesFinal2012.pdf

•FNP Competencies http://www.nonpf.org/associations/10789/files/PopulationFocusNPComps2013.pdf AGACNP, AGPCNP, FNP, PMHNP Practicum Experience – Journal Entry

ENG 106 Topic 2 DQ 2

When writing a strong argument it is important to acknowledge the opposing viewpoint because it shows dimension to the argument. It supports the idea that one has done their research and is ready to discuss openmindedly what they have found. The true purpose of any argument is to get facts across that an individual has learned, as they have become important to one’s specific position. So, acknowledging the opposition makes it possible for individuals to be prepared for that type of conversation or opposition because they are already educated on it. There are certain types of people, that choose to stay on the fence when it comes to discussions only to be able to argue either side when opportunities arise ENG 106 Topic 2 DQ 2.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

When working with opposing viewpoints at the end of a paper, it is important to finish strong to show why the opposition is not your individual position. In this case, it could be difficult to come back from specific topics such as low-cost operations overseas. But in my paper, I mention how those low-cost operations may result in death. I do this to support my Christian viewpoint on organ transplantation ENG 106 Topic 2 DQ 2.

The writer does not want to spend too much time on an opposing viewpoint because they may push support to the oppositions viewpoint and not their own. If the viewpoint is not mentioned it could be show the essay as being weak. This also helps the reader to know that the writer has studied the opposition and further agrees with his or her own position. If the opposing viewpoint has some points that are true the writer will want to concede, but yet come back with even stronger points to refute the concession. Some opposing viewpoints in my essay will be, the maturity of the believer to make a good mature decision about organ donation. Also, would want to discuss that some may be lead to donate while living and others may wait until they pass ENG 106 Topic 2 DQ 2.

NURS 6050 Politics and the Patient Protection and Affordable Care Act

Welcome to NURS 6050: Policy and Advocacy for Improving Population Health

Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society NURS 6050 Politics and the Patient Protection and Affordable Care Act.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

Consider who benefits the most when policy is developed and in the context of policy implementation.

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the votes views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. NURS 6050 Politics and the Patient Protection and Affordable Care Act.

N515-PE – Inadequate Staffing in Healthcare Facilities Essay

Inadequate Staffing in Healthcare Facilities

Inadequate staffing is a problem that persists in Healthcare facilities across the United States. The effects of understaffing are far-reaching and have the potential to cause devasting consequences such as medical errors, patient falls, medication errors, infections, and death. The lack of adequate nurse staffing can result in longer lengths of stay, patient dissatisfaction, and higher readmissions (Lee, Cheung, Leo, Leung, & Hung, 2017). In this paper, we will examine how inadequate staffing affects patient outcomes, potential solutions to this problem, and discuss the best staffing guidelines as evidenced by research N515-PE – Inadequate Staffing in Healthcare Facilities Essay.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Impact on Nursing and Patient Outcomes

           
Most healthcare providers are aware that safe staffing greatly impacts the safety and quality of patient care. So, one might ask why so many healthcare organizations allow their facilities to operate with unsafe nursing ratios. There is ample research that identifies the effects/outcomes of unsafe staffing practices, but not much research that provides answers to the question of why it’s allowed to happen. Could the answer be that healthcare organizations are reluctant to admit that they allow this practice to take place despite knowing the potential consequences? N515-PE – Inadequate Staffing in Healthcare Facilities Essay.  According to the article Unsafe staffing ratios, national healthcare systems have become overwhelmed with enormous health care debt, increasing the incidence of chronic illness, and the common misuse of many healthcare services which has led to major budgetary restrictions being put in place to prevent further damage to the system. While the need for some restrictions is necessary, it is vital that organizations set standards for adequate staffing.

In 2012 the Affordable Health Care Act was introduced.  It contained a component that was aimed to reduce readmission rates by penalizing hospitals that had excessive readmission rates among Medicare recipients (Hugh, Berez, & Small, 2013).  The goal of this component was to reduce readmission rates by offering incentives to hospitals that had good quality and low readmission rates. Hugh et al. (2013) stated that a reduction in readmission rates was highly dependent upon having adequate nurse staffing to ensure proper discharge planning, care coordination, and patient education N515-PE – Inadequate Staffing in Healthcare Facilities Essay. The study went on to reveal that hospitals with higher nurse staffing had 25 percent lower odds of being penalized compared to other similar healthcare facilities with lower staffing.

A study conducted by Linda Aiken Ph.D., RN, Penn State concluded that for every additional patient a nurse cared for, patients were at a 7% greater risk of dying within 30 days of admission, and there also was a greater risk of failure to rescue in an acute situation.  Also, numerous other studies have shown that patient’s suffering an acute cardiac arrest, or other life-threatening illnesses were more likely to survive in hospitals and other medical facilities that had adequate nurse staffing ratios.  Additionally, research has found that healthcare facilities with appropriate staffing ratios consistently scored higher on patient satisfaction surveys (Learner, 2013).

Potential Solutions to Address Inadequate staffing

           
 A possible solution to inadequate nurse staffing is setting mandatory nurse to patient ratios.  However, this is a highly controversial move. There has been an ongoing debate for years as to whether mandatory staffing rations hurt or help inadequate staffing. Proponents of mandatory staffing ratios argue that mandated ratios decrease nurse burnout, staff turnover, decreases patient mortality, and preventable mistakes to name a few. Those who are opposed to mandatory staffing ratios argue that “minimum nurse-to-patient ratio laws impose steep fiscal costs on hospitals and allow them little say in regards to staffing decisions”(Jenkins, 2018, p. 221).  They also raise cause for concern that if mandatory ratios are put in place, beds may be unavailable to patients seeking medical care because there is not an adequate amount of nurses according to necessary ratios available to staff beds. N515-PE – Inadequate Staffing in Healthcare Facilities Essay. Although both sides present clear and compelling arguments, the focus must clearly center on what’s best for the patient.

Best Staffing Guidelines as Evidenced by Research

           
In 2004, California became the first state to impose laws requiring a mandatory nurse to patient ratios in hospital settings.  Since that time, many other States have expressed the need to have mandatory minimum ratios, but few have actually put laws into place.  “Research clearly shows that inadequate staffing can lead to higher costs and quality of care problems” (“Inadequate Staffing,” “n.d,” para. 3). Thus, leaving us to wonder why laws have not been enacted in all states to protect not only patients but nursing staff as well. Solutions exist to nurse staffing challenges in these times of qualified nursing shortages. They include optimizing existing staff, creating a balance of permanent and contingent staff, and better forecasting of anticipating staffing needs (Wolf, Perhats, Delao, Clark, & Moon, 2017) N515-PE – Inadequate Staffing in Healthcare Facilities Essay.

Conclusion

           
In conclusion, whether you are a proponent or opponent of a mandatory nurse to patient ratios, I believe it is safe to say that all parties involved realize that change needs to take place.  As healthcare continues to grow and evolve, finding ways to protect the patient and staff should continue to be a relevant topic of conversation.  As nurse staffing improves, patient outcomes will continue to improve N515-PE – Inadequate Staffing in Healthcare Facilities Essay.

References

Hugh, M., Berez, J., & Small, D. (2013, Oct). Hospitals with Higher Nurse Staffing had Lower Odd of Readmission Penalties then Hospitals with Lower Staffing.
Health Affairs
,
32
(10). https://doi.org/10.1377/hlthaff.2013.0613

Inadequate Staffing Harms Quality and the Bottom Line. (“n.d”). Retrieved 05/21/2019, from www.amnhealthcare.com N515-PE – Inadequate Staffing in Healthcare Facilities Essay

Jenkins, D., (2018). Inadequate Staffing: Patient Safety in Today’s Healthcare Market Place: A Four-Part Series. Retrieved from www.allnurses.com

Learner, S., (2013, Apr. 9). Can Cash-Strapped Health Boards Afford to Ignore Safe Staffing Levels?
Nursing Standard
,
27
(31), 12-3. Retrieved from www.americansentinel.idm.oclc.org

Lee, A., Cheung, Y., Leo, J., Leung, C., & Hung, W. (201
7
, May). Are High Nurse Workload/Staffing Ratios Associated with Decreased Survival in Critically Ill Patients? A Cohort Study.
Annals of Intensive Care
, 7(1). https://doi.org/10.1186/s13613017-02692

Wolf, L., Perhats, C., Delao, A., Clark, P., & Moon, M. (2017, Mar,1). On the Threshold of Safety: A Qualitative Exploration of Nurses Perceptions of Factors Involved in Safe Staffing Levels in Emergency Departments.
Journal of Emergency Nursing
,
43
(2), 150-157. https://doi.org/10.1016/j.jen206.09.003 N515-PE – Inadequate Staffing in Healthcare Facilities Essay

NURSING N515PE – Clinical Problem Neurosurgery Essay

Clinical Problem Neurosurgery

American Sentinel University

Table of Contents

Practice Problem……………………………………………………………………………………………………………… 3

Impact on Nursing Care or Patient Outcomes……………………………………………………………………… 3

Problem Solution…………………………………………………………………………………………………………….. 4

Conclusion……………………………………………………………………………………………………………………… 4

References……………………………………………………………………………………………………………………… 6

Clinical Problem Neurosurgery

In this paper the author will describe a clinical problem she experiences within the neurosurgery population, the problem experienced is poor outcomes and re-admissions due to non compliance of post-operative orders. A review of the literature will be completed and followed by further discussion surrounding the problem, the implications for the patient, and what impact the problem has on nursing care NURSING N515PE – Clinical Problem Neurosurgery Essay. Potential solutions will be offered and discussed making reference to how these solutions fit into evidence-based practice guidelines.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Practice Problem

The problem to be discussed is that of non-compliance of post operative orders which leads to poor outcomes and on occasion re-admissions. One particular order that is not well complied with is the use of incentive spirometers (IS) and breathing exercises. Following surgery patients are painful and fail to see the benefits of using the IS and completing deep breathing and coughing hourly while awake. One possible outcome of non-compliance of  IS and breathing exercises is pneumonia NURSING N515PE – Clinical Problem Neurosurgery Essay.

Impact on Nursing Care or Patient Outcomes

The incidence of post spinal fusion pneumonia is 2.58 – 3.41% (Murgai et al., 2018, table 2) and this is noted by the author as a problem that often leads to re-admission or delayed discharge. From a nursing perspective, teaching the use of the IS or breathing exercises happens on every shift as the chart audits verify in the patient education section of the electronic medical record (EMR). Despite frequent teaching and reminders; many patients fail to comply. The author has found that the reasons for non-compliance can be varied: pain levels, poor technique, lack of interest, poor memory or belligerence to name a few. The hospital as a whole, has a vested interest in wanting to reduce the incidence of pneumonia. The  Hospital Re-admissions Reduction Program (HRRP), which is a value-based purchasing program administered by  Centers for Medicare and Medicaid Services (CMS), penalizes hospitals financially with higher levels of re-admissions (“HRRP,” 2019) NURSING N515PE – Clinical Problem Neurosurgery Essay.

Problem Solution

A potential solution is that of education prior to surgery, it is said that knowledge is power and also that if patients have a perceived benefit they are more likely to comply with a prescribed regime (Panesar, 2012). Most fusion surgery is elective and therefore, there is the opportunity to have some sort of class to aid in the education of patients to help them understand what to expect and how to make the optimal recovery. There is a proven model of preoperative education classes in cardiac and orthopedics, a similar model might prove helpful for neurosurgery/spinal fusion patients. Some of these education classes have been using the term ‘pre’habilitation to describe the work completed to prepare for surgery. NURSING N515PE – Clinical Problem Neurosurgery Essay.

Pre-operative education programs have proved useful in patient outcomes in several studies reviewed (Shananhan & Leissner, 2017), (Kruzik, 2009), (Lotzke et al., 2016), (Ries, 2016) & (Allison & George, 2014). There is also the opportunity to cover not just the use of IS and breathing exercises in this class but a myriad of other subjects that could ease the preparation for, the understanding of the post-operative recovery period of the spinal fusion patient.

Conclusion

Pneumonia in the post-operative spinal fusion patient increases re-admissions, delays healing and complicates the recovery of this patient population. The use of an education class to teach the use of IS and breathing exercises along with other relevant topics has the opportunity to increase the success of surgery, prevent the hospital being penalized financially for re-admissions and will improve the outcomes for the patient population NURSING N515PE – Clinical Problem Neurosurgery Essay.

References

Allison, J., & George, M. (2014, March). Using Preoperative Assessment and Patient Instruction to Improve Patient Safety.
AORN Journal
,
99
, 364-375. http://dx.doi.org/10.1016/j.aorn.2013.10.021

Hospital Readmissions Reduction Program (HRRP). (2019). Retrieved from https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/readmissions-reduction-program.html NURSING N515PE – Clinical Problem Neurosurgery Essay

Kruzik, N. (2009, September). Benefits of preoperative education for adult elective surgery patients.
AORN Journal
,
90
, 381-387. http://dx.doi.org/10.1016/j.aorn.2009.06.022

Lotzke, H., Jakobsson, M., Brisby, H., Gutke, A., Hagg, O., Smeets, R., … Lundberg, M. (2016). Use of the PREPARE (PREhabilitation, Physical Activity and exeRcisE) program to improve outcomes after lumbar fusion surgery for severe low back pain: a study protocol of a person-centered randomised controlled trial.
BMC Musculoskeletal Disorders
,
17
, 1-13. http://dx.doi.org/10/.1186/s12891-016-1203-8

Murgai, R., D’Oro, A., Heindel, P., Schoell, K., Barkoh, K., Buser, Z., & Wang, J. (2018, December). Incidence of Respiratory Complications Following Lumbar Spine Surgery.
International Journal of Spine Surgery
,
12
, 718-724. http://dx.doi.org/10.14444/5090 NURSING N515PE – Clinical Problem Neurosurgery Essay

Panesar, K. (2012). Patient Compliance and Health Behavior Models. Retrieved from https://www.uspharmacist.com/article/patient-compliance-and-health-behavior-models

Ries, E. (2016, February). Better Sooner and Later REHABILITATION.
PT In Motion
,
8
(1), 20-31.

Shananhan, J. L., & Leissner, K. B. (2017). Prehabilitation for the Enhanced Recovery After Surgery Patient.
Journal of Laparoendoscopic & Advanced Surgical Techniques
,
27
, 880-882. http://dx.doi.org/10.1089/lap.2017.0238 NURSING N515PE – Clinical Problem Neurosurgery Essay

My personal nursing philosophy essay

My Personal Philosophy

My philosophy about the nursing profession is that I view it as a calling, a privilege indeed, to be in a position where I can use my knowledge and skills driven by my compassionate and caring nature to provide holistic care to my patients. The course is to treat them with respect, honesty, and dignity without any bias or discrimination to enhance wellness.My personal nursing philosophy essays:

I clearly remember asking my mother one day what I would be when I grew up My personal nursing philosophy essay. She told me I would be a good nurse and that I should consider it as a profession. After that conversation, I never gave any other profession a thought.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

I feel that my philosophy revolves around an empathetic, compassionate and patient-centered care. As nurses, we are in a position to influence the individual, a community and the larger society as change agents in promoting healthy lifestyles and shaping policies that affect social determinants which are critical in health care. Holistic care does involve taking care of a patient’s spirit, mind, body, emotion, and environmental well-being and that is way out of the great nursing theories that I have learned I tend to associate my practice with the works of the nightingale (Pitt et al., 2014) My personal nursing philosophy essay.

Florence Nightingale developed the environmental theory in which she did give a detailed explanation of 13 fundamental canons of the environment that she believed if nurses would make an effort to modify the patient’s environment according to her rules they would be significant in quick recovery of the patient (Medeiros, Enders & Lira, 2015). Her 13 rules include cleanliness of rooms and walls, ventilation, noise, light, personal sanitation, bed and bedding, and proper diet. Taking care of these factors is an excellent step towards holistic care. At the clinical level, positive outcomes on patients can be facilitated by attaching an environmental checklist besides the patient’s bed which will compel nurses to act on such factors. At the community level, Nightingale’s concept of environment can be facilitated through awareness and campaigns through various media on the importance of environmental hygiene and the impact on health. I firmly believe if the ecological theory is applied into the familiar and clinical concept most of the disease, infections and spread of communicable diseases can be toned down by a significant margin and health is promoted of which are among the roles nurse play (Medeiros, Enders & Lira, 2015). As an infection preventionist, I support Nightingale’s statement that the specific scientific activity of nursing is hygiene, and the central element in health care, without which medicine and surgery would be ineffective (Smith & Parker, 2015).

I believe that I got some basic qualities that are relevant to my nursing careers, like good communication and interpersonal skills, flexibility, critical thinking and problem-solving skills, empathetic compassion, and emotional stability (Pitt et al., 2014). My kind nature led me to pursue nursing which I had thought would be a smooth ride in gaining the knowledge, skills, and experience, but what I have learned is that it is not for the faint-hearted, as some scenes, occurrences, and cases can leave one stressed out or even traumatized. Thanks to a supportive family, my colleagues, tutors, and mentors I seem to have overcome that barrier and grown emotionally. I perceive nursing as a
noble career
that surpasses the need for that monthly check as it purposely deals with an aspect that can neither be quantified nor assigned a monetary value, health, and well-being. In my personal nursing philosophy essay I understand the role of nurses as advocates, to actualize the environmental theory I opt to put it into practice when dealing with my patients and counsel, educate and empower them to practice healthy living and self-care. I believe one can change society by dealing with individuals.

I can describe a patient as one that is in need of medical care to enhance their well-being and while on the process their environment plays a critical role. Beginning with the nurses, I believe in the mirror technique that is we cannot advocate for better care of others without modelling positive behaviour in our lives as role models (Hoeve, Jansen & Roodbol, 2014). Self-care is, and I abide by it through proper diets, exercising, having adequate sleep and rest, and minimizing risks within my environment that pose a danger to my health. Nursing as a practice is changing fast. Thanks to continued research and advancement the current world seems to spin fast with significant developments in health care and evidence-based practices. My personal
nursing philosophy essay
That is why I commit to enrolling in continuous learning to keep tabs on the current and evolve seamlessly throughout my career. I am open to any teaching be it from my personal experience in healthcare or interaction with colleagues, patients, and their families.

My strengths and core values act as a guide towards achieving a lifelong career in nursing to impact as many lives as possible through patient safety, healing, and empowerment. My motivating factor is that each day comes with new opportunities and I am better than I was yesterday and will continue to stride with confidence upholding my personal and professional ethical standards always. My nursing experiences had changed my worldview of nursing practice as before I had only perceived it narrowly as a career that only deals with the treatment and patient care but coming to learn of it, it is a practice with a widened scope capable of changing the society via influencing the primary social determinants. My current vision is to bring change and hope to my patients, change their perspective of life and be an inspiration to my juniors that would like to join the nursing profession shortly (Hoeve, Jansen & Roodbol, 2014) My personal nursing philosophy essay.

References

Smith, M. C. & Parker, M.E. (2015)
Nursing theories & nursing practice
(4th Ed.). Philadelphia,

PA: F.A. Davis

Hoeve, Y. T., Jansen, G., & Roodbol, P. (2014). The nursing profession: public image, self‐concept and professional identity. A discussion paper. 
Journal of Advanced Nursing
, 
70
(2), 295-309.

Medeiros, A. B. D. A., Enders, B. C., & Lira, A. L. B. D. C. (2015). Florence Nightingale’s environmental theory: A critical analysis.
Escola Anna Nery
, 
19
(3), 518-524.

Pitt, V., Powis, D., Levett-Jones, T., & Hunter, S. (2014). The influence of personal qualities on performance and progression in a pre-registration nursing program. 
Nurse education today
, 
34
(5), 866-871 My personal nursing philosophy essay.

Scleroderma Essay

Discuss the Pathophysiological Changes that Occur with Scleroderma

Scleroderma begins with an inciting feeling at the endothelium part of the vasculature which escalates into a viral agent, autoimmune, and oxidative stress. Apoptosis and endothelial cell-damage then emerges, escalating into a vascular leakiness that is visible in the initial clinical phases as tissue edema. This stage is characterized by a Th17 and Th1-mediated disease. The vasculature undergoes further compromise by impaired vasculogenesis and angiogenesis. This process is characterized by fewer endothelial progenitor cells due to the presence of antiendothelinal cell antibodies (AECA) (Varga, Denton, Wigley, et al., 2016). The cells then experience elevated levels of pro-angiogenic growth factors such as VEGF and PDGF. Scleroderma Essay.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

An off-balance is created between vasoconstriction and vasodilation causing vasoconstriction leaving a damaged endothelium that facilitates the formation of a blood clot. The pathway also contributes to an injury of the ischemia-reperfusion and the TH2 polarity at a later stage of reactive oxygen species (Varga, Denton, Wigley, et al., 2016).

The chemokines and adhesion molecules are upgraded by the damaged endothelium to facilitate the development of adaptive and immune responses such as the loss of its tolerance to oxidized antigens. This reduced immunity escalates the level of autoimmunity thus making the T-cells to differentiate Th2 cell subsets. The result is activation of fibroblasts and myofibroblasts which causes an excessive deposition of proteins and collagen, further escalating into fibrosis. As the level of plasma decreases, vitamin D increases leading to a serve case of scleroderma

Factors From Sara’s History and Physical that Validate Her Diagnosis?

           
From Sara’s history and physical characteristics, the diagnosis of scleroderma is validated by her feeling of severe fatigue. Her tight and itchy skin around her trunk, face, hand, and arms also justifies this diagnosis. Sara also spends most of her days in the living room, a sign that she needs help to overcome her gastroesophageal reflux disease (GERD-induced) fatigue. Another justification for this diagnosis is the description of a dwindling appetite which has led to a worsening of her nutritional status (Wendahl, Kanazi & Abd-Elsayed, 2019). Besides, Sara’s body temperature is low due to her constant complaint of coldness Scleroderma Essay. Also, her nails and fingertips are severely hyperemic. Her right hand has two small and painful digital ulcers while her fingers are showing signs of curling. Another justification for her diagnosis is that she is not in a position to perform her ADLs and household duties because her hand and fingers are incapacitated.

A Justification for the use of Methotrexate for this Patient

Methotrexate prescription is recommended for Sara because of the immune system of patients with scleroderma a chronically switched-on. Sara could be experiencing high levels of inflammation which builds up scars in his skin. Due to this buildup, Sara’s vital organs are at risk, thus the need to prescribe methotrexate for her. Subjecting Sara to methotrexate will result in the blockage of folic acid production thus slowing down the production of protein and DNA (Wendahl, Kanazi & Abd-Elsayed, 2019) Scleroderma Essay. In particular, the intake of methotrexate will hinder the multiplication of cells of the immune system due to the limited production of protein and DNA. Therefore, the administration of methotrexate in this patient will control the excessive inflammation witnessed in her body.

 

References

Varga, J., Denton, C. P., Wigley, F. M., Allanore, Y., & Kuwana, M. (Eds.). (2016). 
Scleroderma: From pathogenesis to comprehensive management
. Springer Scleroderma Essay.

Wendahl, A., Kanazi, G., & Abd-Elsayed, A. (2019). Scleroderma. In 
Pain
 (pp. 1219-1222). Springer, Cham.

 

 

Sara is a 40-year-old woman whose busy life is at a standstill. She has severe fatigue and tight, itchy skin on her face, arms, hands and trunk. She spends most of her days sitting up in the lounger in the living room to help with the fatigue and gastroesophageal reflux disease (GERD). She describes a dwindling appetite with worsening of her nutritional status. Scleroderma Essay.

Sara is always cold and her fingertips and nails often are severely hyperemic. There are two small, painful digital ulcers on her right hand. Her fingers are beginning to curl, making it difficult for her to perform her ADLs and household duties.

She has seen quite a few specialists about her complaints, including a psychologist, and none of them could be definitive about the diagnosis. Scleroderma Essay (Patients often report a period of 1-3 years from first signs and symptoms to actual diagnosis.)

Sara finally is referred to a rheumatologist at a nearby university medical department, who diagnoses systemic sclerosis. She and her husband are frightened, especially when she is prescribed methotrexate, which they know is a drug used to treat cancer. She types scleroderma into her computer search engine and discovers ads for herbal remedies, the Scleroderma Foundation site and scary articles in various magazines v.

Discuss the pathophysiological changes that occur with scleroderma.

What factors from Sara’s history and physical validate her diagnosis?

Give a justification for the use of methotrexate for this patient

Find sources, minimum of 2 sources and intext citations with references. no cover page or running head needs to be included thank you Scleroderma Essay.

PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

Week one

Ethical and spiritual decision making in health care

Part 1: Explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care

Christianity offers a religious perspective on the nature of ethics and spirituality. It contends that spirituality is the religious and theological prism that explains the notion of God in terms of who, what and how. God is perceived as the eternal and all-powerful being above everything and everyone. With the understanding of God as a concept, Christians have developed belief systems that are presented in the Bible. These belief systems explain the purpose of human life, and the truth as well as the meaning of life. With this awareness, humans can pursue and achieve a transcendent state for all life experiences. This means that even as humans make choices about life, spirituality ensures that they remaining grounded in following God’s guidance. In addition, it makes Christian more accepting of life since there is the acceptance that God guides all fate and anything that happens must have been permitted by God, whether good or bad. As such, spirituality takes on theological and symbolic functions (Igboin, 2015). Besides that, Christians view ethics as making a decision based on God’s instructions as presented in the Bible. They rely on spirituality to conform to God’s expectation without room for ambiguity. The Christian perspective of spirituality and ethics have implications for health care through guiding with decision-making by setting boundaries for accepting choices/options when making decisions. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments. They are particularly focused on lessening human suffering, augmenting wellbeing, and restoring life (Igboin, 2015).

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Postmodern relativism presents a more liberal understanding of spirituality, arguing that there is no absolute truth. It is ambiguous when arguing that God may or may not exist with either one of the options being a possibility. Similarly, with regards to ethics, postmodern relativism contents that contrasting ethical arguments could be valid or invalid with no absolute truth. The implication is that no single argument should be discarded simply because it is contradictory. The postmodern relativism perspective is particularly useful to health care since it supports multicultural care delivery through accepting diversity. With this awareness, medical personnel would acknowledge that they do not have a monopoly on the truth about spirituality and ethics, and that obscure cultures should not be ignored (Zavada, 2019).

Part 2: Explain what scientism is and describe two of the main arguments against it

Scientism contends that hard sciences are the only true source of absolute truths and genuine knowledge thus positioning them to offer superior scientific knowledge. It identifies hard sciences as the subjects relying on experimentation and laws of nature to include physics, biology and physics. The hard sciences rely on factual, replicable and testable data thus making their results reliable. Unlike hard sciences, soft sciences are considered as pseudosciences that present guesses and conjectures that are subject to change that may not be replicable thus making them inferior to hard science. The distinction between hard and soft sciences is based on the perceived value of the information they provide. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments. Hard sciences offer more valuable information since they rely on objective skepticism, experimentation, and falsification to offer explanatory principles. On the other hand, soft sciences rely on subjectivism thereby presenting opportunities for influences from human nature such that it is not uncommon to have contrasting ideas for the same principle (Moreland, 2018). In this respect, scientism identifies hard sciences as having greater intellectual authority over real knowledge when compared to soft sciences.

There are two main arguments offered against scientism. Firstly, hard sciences do not offer absolute truths and facts since they are restructured by the current understanding of the environment and measuring instruments. Things that were previously thought of as absolute truths in hard sciences are not subject to change as new information is presented. This means that information presented by both soft and hard sciences are subject to change over time. Secondly, hard sciences have adopted a tyrannical approach that is over-reliant on rationalism while disregarding personal opinion. These tyrannical approaches end up stifling willful thought that is important for discovering new information, and yet this is important for advancing science. Soft sciences have adopted a more accepting approach that allows for willful thought (Briggs, 2019). PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments.

Part 3.

(a) What is ultimate reality?

Ultimate reality is the belief that every individual is the product of interactions with the environment. I am the product of nurture, and my environment determines how I develop into a person. My family, neighborhood, community, city, state, government and other environmental factors have all influenced my development through determining my values, mannerism and thought processes. For instance, I would be more accepting of polygamy if I were a Muslim and less accepting if I were a Christian since the two religious principles differ on their perceptions of number of partners in a valid marriage. As such, ultimate reality looks at how experience affects reasons as well as decision-making and life perceptions.

(b) What is the nature of the universe?

The nature of the universe is that it is always experiencing change with the most basic change being time. The universe relies on energy to drive the change with the extent and direction of change relying on the prioritization processes determined by competition, extinction, evolution, and energy conversion. Competition involves struggle to acquire the scarce energy resources. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments. Extinction involves removal of components that are unable to compete either through direct competition or disaster events. Evolution involves adapting to environmental changes that allow for a better fit. Energy conversion involves changes between the different forms of energy that begins with solar energy being captured by plants.

(c) What is a human being?

A human being can be defined from two perspectives. The first definition is from the religious perspective that identifies God as the creator of human beings. The Christian story of creation advances that humans were created by God in his image with the intention of them to procreate and do his will that includes taking care of other creations and following the Ten Commandments. The second definition is from the biological perspective that identifies humans as products of evolution who have selectively adapted to develop higher thought processes that allows them to adapt the environment to their needs. The higher thought process has allowed humans to develop complex languages and vocabulary, technology and clothes that allow them to use the environment beyond their physical capabilities. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments.

(d) What is knowledge?

Knowledge refers to the unique sets of facts, information, and skills that an individual cognitively acquires through experience and education. Experience involves practice to familiarize with knowledge while education involves attending formal and informal processes to acquire theoretical knowledge. Knowledge allows individuals to have capacity thought processes. For instance, an individual knowledgeable in engineering is able to successfully manage a construction project while an individual knowledgeable in medicine is able to diagnose and treat ailments.

(e) What is your basis of ethics?

My perception of ethics is based on two concepts. The first concept is personal opinion, beliefs and awareness to determine moral right and wrong. This is based on what the environment has taught me. For instance, I personally believe that every person should do honest work to earn a living, and that stealing is wrong. Regardless of my environment and laws, I would find it difficult to steal. The second concept is public principles and beliefs. Although I may have personal beliefs, they may not necessarily match the public beliefs that are determined through public discussions and consensus. For instance, there are ethical principles on how to handle private information within the professional environment, and regardless of my personal beliefs, I am expected to follow the principles. The two concepts interact to determine how I handle ethical situations.

(f) What is the purpose of your existence?

I have two purposes for existing. My first purpose is to procreate and bring up future generations. This includes getting married, having children, working to earn money, and meeting the needs of my family. Also, it includes taking care of my environment so that my future generations do not suffer for my mistakes. My second purpose is to fulfil God’s will through observing religious principles such as observing the Ten Commandments, and acting in good conscious. I believe that I was created by God to serve, and I only have value for as long as I serve.  As such, my purpose is to procreate, present a better world for future generations, and fulfil God’s will.

References

Briggs, W. (2019).
In opposition to scientism
. Retrieved from https://wmbriggs.com/post/26885/

Igboin, B. (2015). Spirituality and medical practice: a Christian perspective.
Indian Journal of Medical Ethics
, 12(4). DOI: 10.20529/IJME.2015.054. Retrieved from http://ijme.in/articles/spirituality-and-medical-practice-a-christian-perspective/?galley=htmlPHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

Moreland, J. (2018).
What is scientism?
Retrieved from https://www.crossway.org/articles/what-is-scientism/

Zavada, J. (2019).
Postmodernism definition
. Retrieved from https://www.learnreligions.com/what-is-postmodernism-700692

 

PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

Grand Canyon University, PHI-413V Ethical and Spiritual Decision Making in Health Care

Week one

Based on the required topic study materials, write a reflection about worldview and respond to following:

In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

In 250-300 words, explain what 
scientism
is and describe two of the main arguments against it.

In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:

What is ultimate reality?

What is the nature of the universe?

What is a human being?

What is knowledge?

What is your basis of ethics?

What is the purpose of your existence

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

RUBRIC

Due Date:
 
15-Mar-2020 at 11:59:59 PM

Maximum Points: 
100.0

Personal Worldview Inventory

Shared by cultures, composed of assumptions, categories and values that provide a lens to view the world is what is known as “world view”. Due to diverse perspectives, every person’s way of viewing the world is unique. Any person’s world view is heavily influenced by spirituality. The concepts which had been yielded by scientism and postmodernism had always been hindered due to spiritual means followed by the patients and doctors in domains of healthcare.

 

Philosophical Concepts and Spirituality

The connection of a person to others and life is what many consider “Spirituality”. It is a connection between souls and spirits. Existing in various forms spirituality can decrease morality, increase coping skills and increase recovery at times.

Due to concepts of “postmodernism” and “scientism”, spirituality has been excluded from healthcare and nursing. “Scientism” is the mere concept that through science if one doesn’t obtain knowledge than it is not real. Similar to relativism is “postmodernism”. It rejects all claims of absolute knowledge, role of reason, and rationality in science (Taylor, 2014). Truth is in accordance to perception is what is stated by postmodernism.

Spiritualism has been subdued by these concepts because no room has been left for pluralism and the acceptance of diversity in beliefs. However “scientism” and “postmodernism” fail to capture the essence of human life because they lack ethical reasoning.

 

What is prime reality?

God is what “prime reality” is. Albeit the fact that human lives are changing, being made easier and life spans are increasing due to advancement in human technology, God is still the “Creator” and “Controller” of everything. Every life event takes place upon Gods consent, although people might credit the numerous resources and their fate for the blessings and curse they have in their life. The faith that every is in the hands of God is growing less common day by day as humans are advancing in science, arts and media. They think that they can bend life and fate the way they want to.

 

What is the nature of the world around you?

The perspective of an individual determines the nature of the world around us. Some people think they have a peaceful life, some think of it as chaotic while others refer to it as isolated. Everybody has the same world around them but what changes their thoughts and perspective are the life events and challenges they face. All of those situations whether negative or positive mold an individual’s perspective on the nature of the world around us.

 

What is a human being?

This questions has many possible answers. A human being is the creation of God, with Gods essence present in it. Though God is the creator of a human but human itself is the creator of many things. Ruling the earth by a weapon, its mind, a human being is the most powerful being on earth. By abusing the power of mind, many wars have been waged by humans. A human is unpredictable, they can go from being kind and gentle to the most cruel and ruthless being ever in existence. A human is a machine with a limited life span and ability to reproduce. It is a predator which dwells on power and an animal which does anything for its survival.

 

What happens to a person at death?

A person is transferred from one realm to another after death. They are not considered dead, only their soul leaves the body and goes to another world unknown to man. The person’s temporary voyage at earth ends and an eternal life starts to reap the fruit of good deeds and also a person is held accountable for their sins. (Echert, 2017). Material things are all left behind on earth, the only possession a person is allowed to take with him is his deeds which help pursue a peaceful eternal life. However, when a person departs from earth after death, loved ones, wealth everything else is left behind and the person moves on to another world. Death is inevitable, every person will die someday whether they want to or not.

 

Why is it possible to know anything at all?

Human beings are created to be a know it all. Their mind and their instincts keep them up to date on worldly affairs. By discovering Mother Nature and making advancements in science human beings are becoming superior than they ever were. Every possible technique that can be used to exploit and reap maximum benefits of Mother Nature has been unveiled (Ratanakul, 2008). God has made human a very curious creature, their purpose is to solve the mysteries of the world. Without curiosity and determination to learn new things, a human appears to be incomplete.

 

How do people know what is right or wrong?

On the basis of religion, rules, regulations and teachings imposed by it, a person discriminates right from wrong. For example, some religions forbid and declare it a sin to expose body, even the hair to any person, whereas some religions teach to embrace the body and exposing body isn’t considered a sin. Followers of one religion might criticize the followers of another religion because of conflicting beliefs and practices. In the same way, worshipping God is done in many different ways according to every religion. There might appear a lot of unethical ways to worship God but for the believers of that religion that practice is right because they are only doing which has been taught by their religion. (Hardy, 2006).

 

What is the meaning of human history?

The emergence of God, the creation of mankind and the evolution of mankind from dark ages to this whole new era is what is known as the “human history”. Human history is the record of human achievements and how each and every secret of the world has been unveiled so far. Humans have brought the world to a point where every other things is dependent on their mercy for its survival.

Conclusion

            “
Worldview” varies according to every person. Everybody’s view is shaped by their beliefs and religion. Many believe in spirituality but others believe in postmodernism and scientism. There can be a world where all of these concepts can co-exist. In this world, God is the prime reality. He made humans and all of them have a different perspective and a lens to view the world they live in. Humans evolved from the dark ages to this new era where countless things are being unveiled every single moment. But all of this life has an end and that’s death. Every individual has a specific lifespan. All of it will come to an end and each person will be rewarded or punished according to the deeds they’ve done.

 

Bibliography:

Echert, J. (2017).
What Happens to a Person After Death?
Retrieved from:
http://www.ewtn.com/v/experts/showmessage.asp?number=340085

 

Hardy, J. (2016).
Human Nature and the Purpose of Existence.  
Retrieved from:
http://www.patheos.com/Library/Buddhism/Beliefs/Human-Nature-and-the-Purpose-of-Existence

 

Ratanakul, P. (2008).
Health, Disease, and Healing: The Buddhist Contribution. Dharma World Magazine.
 Retrieved from:
http://www.rk-world.org/dharmaworld/dw_2008odhealth.aspx

 

Taylor M & Taylor R (2014).
Is relativism and postmodernism same in seeking our God?
Retrieved from:

Is relativism and postmodernism the same?

Week 2

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

How does the theory determine or influence each of their recommendations for action?

What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

RUBRIC

Attempt Start Date:
 
16-Mar-2020 at 12:00:00 AM

Due Date:
 
22-Mar-2020 at 11:59:59 PM

Maximum Points: 
200.0

Week 3

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart 

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

 

Attachments
PHI-413V-RS-T3ApplyingFourPrinciplesCaseStudy.docx

Attempt Start Date:
 
23-Mar-2020 at 12:00:00 AM

Due Date:
 
29-Mar-2020 at 11:59:59 PM

Maximum Points: 
150.0

Week 4

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

ORDER A PLAGIARISM-FREE PAPER HERE

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?

How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection? PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?

What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?

Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?

Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

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 LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

RUBRIC

Attempt Start Date:
 
30-Mar-2020 at 12:00:00 AM

Due Date:
 
05-Apr-2020 at 11:59:59 PM

Maximum Points: 
200.0

Course Code

Class Code

Assignment Title

Total Points

PHI-413V

PHI-413V-O503

Case Study on Death and Dying

200.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (65.00%)

Satisfactory (75.00%)

Good (85.00%)

Excellent (100.00%)

Content

70.0%

Suffering and Fallenness of the World

12.0%

Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is insufficient or not supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is unclear or vaguely supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and skillfully supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.

Suffering and the Hope of Resurrection

12.0%

Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is insufficient or not supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is unclear or vaguely supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and skillfully supported by topic study materials.

Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.

Value of Life

12.0%

Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is insufficient or not supported by topic study materials.

Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is unclear or vaguely supported by topic study materials.

Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and supported by topic study materials.

Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and skillfully supported by topic study materials.

Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.

Euthanasia

12.0%

Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is insufficient or not supported by topic study materials.

Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is unclear or vaguely supported by topic study materials.

Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and supported by topic study materials.

Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and skillfully supported by topic study materials.

Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.

Morally Justified Options

12.0%

Evaluation of which options would be justified in the Christian worldview for the man is insufficient or not supported by topic study materials.

Evaluation of which options would be justified in the Christian worldview for the man is unclear or vaguely supported by topic study materials.

Evaluation of which options would be justified in the Christian worldview for the man is clear and supported by topic study materials.

Evaluation of which options would be justified in the Christian worldview for the man is clear and skillfully supported by topic study materials.

Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.

Personal Decision

10.0%

Reflection hypothesis of which personal choices would be made if faced with ALS based on personal worldview is insufficient.

Reflection hypothesis of which choices would be made if faced with ALS based on personal worldview is lacking a personal connection.

Reflection hypothesis of which personal choices would be made if faced with ALS based on personal worldview is clear.

Reflection hypothesis of which personal choices would be made if faced with ALS based on personal worldview is clear and thoughtful.

Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful.

Organization, Effectiveness, and Format

30.0%

Thesis Development and Purpose

7.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

8.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

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)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

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

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

5.0%

Template is not used appropriately, or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

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

5.0%

Sources are not documented.

Documentation of sources is inconsistent and/or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

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

Total Weightage

100%

Week 5

Benchmark – Patient’s Spiritual Needs: Case Analysis

PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.

In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?

In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

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 LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

RUBRIC

Attempt Start Date:
 
06-Apr-2020 at 12:00:00 AM

Due Date:
 
12-Apr-2020 at 11:59:59 PM

Maximum Points: 
200.0

PHI-413V Ethical and Spiritual Decision Making in Health Care weekly assignments

NURS 6053 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Discussion: Organizational Policies and Practices to Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. NURS 6053 Discussion: Organizational Policies and Practices to Support Healthcare Issues.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

To Prepare:

Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.

Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post
an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples. NURS 6053 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Discussion: Organizational Policies and Practices to Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. NURS 6053 Discussion: Organizational Policies and Practices to Support Healthcare Issues

To Prepare:

Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.

Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post
an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples. NURS 6053 Discussion: Organizational Policies and Practices to Support Healthcare Issues