Category: Nursing

Ethical considerations in health care

It is a common occurrence for families to clash with healthcare providers on issues pertaining treatment of the patient. This brings about ethical challenges in a healthcare setting that if not properly addressed may bring problems that may hinder the healthcare provider’s ability to help the patient. During the week I did encounter such as the case that prompted a re-think in terms of ethics. In the pediatric unit, there was a child aged eight years old who had stage 4 osteosarcoma. The child was in pain, and thus the attending physician wanted a shift from curative to palliative care so as to enable him to be comfortable and as pain-free as possible. The problem arose when the parents were of the opinion that with the start of palliative care it would mean that their son would die quicker. We had already increased the dose of morphine in a bid to decrease the child’s pain. The ethical dilemma was whether to stop the palliative care in its entirety or continue with it to some extent so as to improve the quality of life for the child. The parents were convinced of the need for palliative care, but it does raise questions on its appropriate timing.  Ethical considerations in health care.

This week I appreciated the importance of technology in healthcare. Innovations in IT have helped improve the quality of healthcare compared to previous years. We are in an exciting and dynamic digital age that continues to generate knowledge that informs and impacts health care organizations. IT has helped clinicians by coming up with ways of availing information on patients and what ails patients which eventually helps them make the best decisions in terms the patients’ healthcare. Cutting-edge technology has availed alternative tests and treatments for problems which have helped in prolonging lives and enabled clinicians to make the most effective decisions when it comes to patients. It’s an exciting time and age, and I cannot wait to see what innovations will come up next that will help us become better healthcare providers. Ethical considerations in health care

Benchmark Assignment – Spiritual Needs Assessment And Reflection

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure  to focus on the interviewee’s experience as a patient, regardless of  whom you choose to interview.

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Review The Joint Commission resource found in topic materials, which  provides some guidelines for creating spiritual assessment tools for  evaluating the spiritual needs of patients. Using this resource and any  other guidelines/examples that you can find, create your own tool for  assessing the spiritual needs of patients. Benchmark Assignment – Spiritual Needs Assessment And Reflection.

Your spiritual needs assessment survey must include a minimum of five  questions that can be answered during the interview. During the  interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers  provided. Be sure to record the responses during the interview by taking  detailed notes. Omit specific names and other personal information  through which the interviewee can be determined. Benchmark Assignment – Spiritual Needs Assessment And Reflection.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure  to exclude specific names and other personal information from the  interview. Instead, provide demographics such as sex, age, ethnicity,  and religion. Include the following in your response: Benchmark Assignment – Spiritual Needs Assessment And Reflection.

What went well?

Were there any barriers or challenges that inhibited your ability to  complete the assessment tool? How would you address these in the future  or change your assessment to better address these challenges?

How can this tool assist you in providing appropriate interventions to meet the needs of your patient?

Did you discover that illness and stress amplified the spiritual  concern and needs of your interviewee? Explain your answer with  examples.

Submit both the transcript of the interview and the analysis of your  results. This should be submitted as one document. The interview  transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not  required. Benchmark Assignment – Spiritual Needs Assessment And Reflection

Acute Rehabilitation Floor Reflective Narrative

Acute rehabilitation was a good experience especially in understanding interdisciplinary collaboration. A physician often led a team of rehabilitation experts including rehabilitation nurses, therapists, psychologists and case managers. Ideally, a good team of experts often produces great results for patients in need of acute rehabilitation. Furthermore, I learnt that acute rehabilitation is essential because of the various patient types that require such treatment. The patients include people with neurological conditions, brain stroke, physical injuries and other medical issues.

Ethical considerations in delivering acute treatment are critical, especially in the dealing with various patients. Nurses and other professionals must treat patients in ways that maintain human dignity. In cases where patients cannot make decisions, the professionals should collaborate with family members to make the best decisions that suit the patient. Leadership is also critical in delivering acute rehabilitation treatment. Most treatment procedures involve rigorous physical, occupational or speech therapies undertaken by a group of professionals. Therefore, the management must coordinate the teams to ensure optimum outcomes for patients in the program. Leadership often dictates the welfare of patients and staff within the facility. Acute Rehabilitation Floor Reflective Narrative.

Technology is also critical in improving the role of acute rehabilitation in improving quality of life among patients. Notably, hospitals should keep up with new technology that benefits patients. Where possible, it is essential for an acute rehabilitation department to run a research department dedicated to developing new rehabilitation technology. Finally, health policy is critical in providing acute rehabilitation. The department should regularly review health policies to ensure they do not deter patients from receiving treatment. For example, sound health policies provide avenues for patients to pay for acute rehabilitation comfortably without straining. The hospital should improve health policies, leadership, collaboration and technology in the department. Acute Rehabilitation Floor Reflective Narrative

Byvalson Medication Paper

The Medication Paper Final Draft “Byvalson”

paper must be a minimum of seven pages, not including your title or reference pages. You should include at least five recent references (published within the last five years), and the paper must be presented in APA format (see rough draft requirements in week 6).

The paper must include the following content information:

Manufacturing company

Brand name

Indication

First in class, or not first in class

Common side effects profile

Known contradictions

Make sure you explain the special considerations that your chosen drug has on the unique populations/client groups listed below. Special considerations should include absorption, clearance/elimination, distribution, metabolism half-life, loading dose, route of drug administration, and steady state. Byvalson Medication Paper.

Pediatric Patients

Pediatric patients are not little adults. There are special pharmacokinetic and pharmacodynamics variations in this patient group. Their reaction to medication can be very unpredictable. Accurate dosing is the key due to their limited body mass.

Geriatric Patients

Geriatric patients have altered pharmacokinetic and pharmacodynamics responses to medication. The process of aging and disease will change how the body responds to drug therapy. Memory limitations and increased sensitivity to drug therapy may cause unique problems with this population.

Patients With Renal Dysfunction

Many medications are excreted through the renal glands or metabolized and excreted renally. Dosage adjustment is the key in this population. Many agents may cause nephrotoxicity.

Patients With Liver Dysfunction

Liver disease produces alterations in the physiology of the drugs’ pharmacokinetics in the body. Special attention should be given to all drugs used in this client population

Obese Patients

Obese patients have alterations in their pharmacokinetic and pharmacodynamic response to medication. Many comorbidities and altered nutritional status can be seen as responses to taking these medications. Accurate dosing is paramount.

Pregnancy/Lactation

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant? Byvalson Medication Paper.

Rights of psychiatrist’s patients

Any clinical practice needs to observe a given ethical, practical and legal procedure in admitting its patients. Mental healthcare organization such as a psychiatric organization needs to define the rights to decision making, right to information, right to consent and right to refuse treatment by its patients. It has been found out scientifically that there are drugs that are given to mentally ill people depending on their disorder to reduce their condition. These drugs are not provided for free by hospitals. In case, there is nobody close to taking care of these people then they might not get to buy these drugs because they usually have no income to afford the drugs. Being close to these mental people can help them to gain access to these. For example, in case I am taking care of one person suffering from the psychotic disorder, and then I can buy drugs for him so that he may not be affected very much by his condition. The government can also get involved in this action by subsidizing these medications so that they can be easily accessible to mentally ill. Rights of psychiatrist’s patients.

Psychotic patients are also humans only that they are ill. They can be taken care of but with a good plan. These patients also have a right to shelter and attention. Rights of psychiatrist’s patients. This can be done by creating a home for mentally ill people. This home can be designed in such a way that they will be able to be supplied with all the essential needs. Many people have opposed the procedure of putting mentally ill people in one place arguing that it is against the human rights. This is because these patients are settled in one place like solitude. However, this is the best way to take care of them because in case they are on their own in the society then it will be hard for them to acquire the basic needs.The other justification for having a close relationship is that the community neglects mentally ill people at times and some undergo some of the criminal act from people such as rape. Many sick mentally women have been found to be pregnant whereas they are not in any relationships. Rights of psychiatrist’s patients

Scholarly Activity Summary – Grand grand canyon university GCU

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

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You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment. Scholarly Activity Summary – Grand grand canyon university GCU.

Scholarly Activity Summary

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10. Scholarly Activity Summary – Grand grand canyon university GCU.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more. Scholarly Activity Summary – Grand grand canyon university GCU .

Solution

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.

Opportunity

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse? Scholarly Activity Summary – Grand grand canyon university GCU .

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP. Scholarly Activity Summary – Grand grand canyon university GCU .

Ancillary services vs. inpatient services trends

Jacobs, L.P. (2017).
10 Health Care Trends for 2017.
Retrieved from http://www.trusteemag.com/articles/1184-10-health-care-trends-for-2017

Utica College. (2017).
10 New Trends in Health Care Management in 2017.
Retrieved from http://programs.online.utica.edu/articles/10-trends-in-health-care-management-0321

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 Nelson, M. L., Nelson, M. L., & Sen, R. (2014). Decision support systems: Business rules management in healthcare: A lifecycle approach.
Elsevier
. doi:10.1016/j.dss.2012.10.044. Ancillary services vs. inpatient services trends .

based on these readings

Analyze and evaluate the two most salient trends impacting the business operations and/or administration.

Are these trends uniquely different for ancillary services vs. inpatient services?

Where do you see these trends going in the future and why? Ancillary services vs. inpatient services trends

Complex public health issues

How do you think public health professionals and policy decision makers can work together more effectively to prepare for complex public health issues, such as health insurance accessibility or flu pandemics?

What leadership skills do you think are necessary when working in emergency public health situations?

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Give reasons and examples in support of your responses. Be sure to cite any relevant resources. Complex public health issues.

Write your initial response in approximately 300 words. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources. Complex public health issues.

Nursing Resume

Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant. Nursing Resume.

Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

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Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for
http://www.resume-resource.com/examples-medical.html
for examples of approved formats; however, other professional templates may be used.

Share your resume with a colleague and elicit their feedback. Revise your resume if needed and submit the resume in the assignment section of the course. Nursing Resume.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Nursing Resume.

Benchmark – Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

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Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation. Benchmark – Effective Approaches In Leadership And Management.

Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style. Benchmark – Effective Approaches In Leadership And Management.

Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.

Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Benchmark – Effective Approaches In Leadership And Management.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Benchmark – Effective Approaches In Leadership And Management