Category: Nursing

  • NSG 6020 iHuman case: Rachael Hardy V3 PC

    NSG 6020 iHuman case: Rachael Hardy V3 PC Assignment

    iHuman case: 
    Rachael Hardy V3 PC

    Discussion Question 1

    History collection of questions, one of the key questions that I missed was If patient felt fatigue, had difficulty sleeping or experienced any weight gain or loss.  The second key question that I missed was to ask if patient had a family history of diseases that run in the family.  Both of these questions are important to improve diagnostic accuracy.  Bickley (2016) summarizes the importance of family history collection to improve diagnostic assessment.

    Discussion Question 2

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Physical exam was not a focused exam.  Exam needed to be more specific and full head to toe assessment was not needed.  For a conscious adult, I did not palpate a radial pulse as first choice.  The radial pulse is commonly used to assess the heart rate (Bickley, 2016). NSG 6020 iHuman case: Rachael Hardy V3 PC

     

     

    Discussion Question 3

    Breast lump was one key finding that was included in my list.  One important physical exam would be to assess for lymph node involvement with report of breast lump.  As written by Bickley (2016), “Nodes that are large (≥1 to 2 cm) and firm or hard, matted together, or fixed to the skin or underlying tissues suggest malignancy.”

     

    Discussion Question 4

    The assessment completed did not include evaluation of family history.  With breast cancer family history can be contributory to patient risk.  As stated in ihuman, “The next step is to consider those clinical factors (here, listed as 
    problems
    ) that should, or may, impact the differential diagnosis (DDx): Family history of breast cancer (mother; diagnosed at age 48)”

     

    Discussion Question 5

    Breast abscess is a differential diagnosis that was missed during the assessment of differential diagnosis.  Breast abscess is important because it is a cannot miss diagnosis according to ihuman.  If a patient has a diagnosis of breast abscess and it goes untreated then the patient could suffer worsening infection or death.  According to Bickley (2016), However, any breast mass should be carefully evaluated and usually warrants further investigation by ultrasound, aspiration, mammography, or biopsy. NSG 6020 iHuman case: Rachael Hardy V3 PC.

     

    Bickley, L. (2016). 
    Bates Guide to Physical Examination and History Taking
     (12
    th
    Ed.). Philadelphia, PA: Lippincott, William & Wilkins. NSG 6020 iHuman case: Rachael Hardy V3 PC

  • HcA320 Health Care Policy And Economics Essay

    HcA320 Health Care Policy And Economics Essay

    Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

    Start by reading and following these instructions:

    1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

    2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully HcA320 Health Care Policy And Economics Essay.

    3. Consider the course discussions so far and any insights gained from it.

    4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Assignment:

    Describe how you plan to advocate for your patients. Include relevant policies and stakeholders. Given the opportunity, what organization would you develop to advocate for the public and why? Some examples are American Cancer Society or the American Lung Association.

    Assignment Description:
     This assignment will be at least 1500 words or more

    This week you will reflect upon the Affordable Care Act and Patient Advocacy to answer the following questions:

    How can you contribute to safe practice? HcA320 Health Care Policy And Economics Essay.

    Briefly define your role and tell how you will advocate for the healthcare consumer

    Reflect on your future role changing as a result of policy changes

    How do you see the role of your chosen profession changing in the near future?

    Assignment Expectations:
     How will students be successful?

    Length:

    1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner

    Structure:

    Include a title page and reference page in APA style

    References:

    Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

    Format:

    Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type HcA320 Health Care Policy And Economics Essay

    File name:

    Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)

    Submission:

    Submit your assignment to the Drop Box HcA320 Health Care Policy And Economics Essay

  • NRS 433 Week 2 Rough Draft Qualitative Research Critique And Ethical Consideration

    NRS 433 Week 2 Rough Draft Qualitative Research Critique And Ethical Consideration

    Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Please refer to the directions in the Student Success Center. Research Critique Guidelines To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 NRS 433 Week 2 Rough Draft Qualitative Research Critique And Ethical Consideration assignment. Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses. Qualitative Study Background of Study: • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. • Were the purpose and research questions related to the problem? Method of Study: • Were qualitative methods appropriate to answer the research questions? • Did the author identify a specific perspective from which the study was developed? If so, what was it? • Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include? • Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. • Did the author evaluate or indicate the weaknesses of the available studies? • Did the literature review include adequate information to build a logical argument? • When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings? Results of Study • What were the study findings? • What are the implications to nursing? • NRS 433 Week 2 Rough Draft Qualitative Research Critique And Ethical Consideration.  Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing? Ethical Considerations • Was the study approved by an Institutional Review Board? • Was patient privacy protected? • Were there ethical considerations regarding the treatment or lack of? Conclusion • Emphasize the importance and congruity of the thesis statement. • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. • Integrate a summary of the knowledge learned. Quantitative Study Background of Study: • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. • Were the purpose and research questions related to the problem? Methods of Study • Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify? • Was informed consent obtained from the subjects or participants? • Did it seem that the subjects participated voluntarily in the study? • Was institutional review board approval obtained from the agency in which the study was conducted? • Are the major variables (independent and dependent variables) identified and defined? What were these variables? • How were data collected in this study? • What rationale did the author provide for using this data collection method? • Identify the time period for data collection of the study. • Describe the sequence of data collection events for a participant. • Describe the data management and analysis methods used in the study. • Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis? • What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses? Results of Study • What is the researcher’s interpretation of findings? • Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings? • What limitations of the study were identified by researchers? • Was there a coherent logic to the presentation of findings? • What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing? • What suggestions are made for further studies? Ethical Considerations • Was the study approved by an Institutional Review Board? • Was patient privacy protected? • Were there ethical considerations regarding the treatment or lack of? Conclusion • Emphasize the importance and congruity of the thesis statement. • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. • Integrate a summary of the knowledge learned. NRS 433 Week 2 Rough Draft Qualitative Research Critique And Ethical Consideration.

  • NRS-433V Evidence-Based Practice Literature Search

    NRS-433V Evidence-Based Practice Literature Search

    Evidence-Based Practice Literature Search

    Backes, C. H., Backes, C. R., Gardner, D., Nankervis, C. A., Giannone, P. J., & Cordero, L. (2012). Neonatal abstinence syndrome: transitioning methadone-treated infants from an inpatient to an outpatient setting.
    Journal Of Perinatology
    ,
    32
    (6), 425-430. doi:10.1038/jp.2011.114

    Objective: Each year in the US ∼50 000 neonates receive inpatient pharmacotherapy for the treatment of
    neonatal
    abstinence syndrome
    (NAS). The objective of this study is to compare the safety and efficacy of a traditional inpatient only approach with a combined inpatient and outpatient methadone treatment program. Study Design: Retrospective review (2007 to 2009). Infants were born to mothers maintained on methadone in an antenatal substance abuse program. All infants received methadone for NAS treatment as inpatient. Methadone weaning for the traditional group (75 patients) was inpatient, whereas the combined group (46 patients) was outpatient. Result: Infants in the traditional and combined groups were similar in demographics, obstetrical risk factors, birth weight, gestational age (GA) and the incidence of prematurity (34 and 31%). Hospital stay was shorter in the combined than in the traditional group (13 vs 25 days; P<0.01). Although the duration of treatment was longer for infants in the combined group (37 vs 21days, P<0.01), the cumulative methadone dose was similar (3.6 vs 3.1 mg kg −1 , P=0.42). Follow-up information (at least 3 months) was available for 80% of infants in the traditional and 100% of infants in the combined group. All infants in the combined group were seen 72 h from hospital discharge. Breastfeeding was more common among infants in the combined group (24 vs 8% P<0.05). Following discharge there were no differences between the two groups in hospital readmissions for NAS. Prematurity (34 to 36 weeks GA) was the only predictor for hospital readmission for NAS in both groups (P=0.02, OR 5). Average hospital cost for each infant in the combined group was $13 817 less than in the traditional group. Conclusion: A combined inpatient and outpatient methadone treatment in the management of NAS decreases hospital stay and substantially reduces cost NRS-433V Evidence-Based Practice Literature Search. Additional studies are needed to evaluate the potential long-term benefits of the combined approach on infants and their families. ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE Cleary, B., Donnelly, J., Strawbridge, J., Gallagher, P., Fahey, T., Clarke, M., & Murphy, D. (2010). Methadone dose and neonatal abstinence syndrome-systematic review and meta-analysis. Addiction , 105 (12), 2071-2084. doi:10.1111/j.1360-0443.2010.03120.x Aim To determine if there is a relationship between maternal methadone doses in pregnancy and the diagnosis or medical treatment of neonatal abstinence syndrome (NAS). Methods PubMed, EMBASE, the Cochrane Library and PsychINFO were searched for studies reporting on methadone use in pregnancy and NAS (1966-2009). The relative risk (RR) of NAS was compared for methadone doses above versus below a range of cut-off points. Summary RRs and 95% confidence intervals (CI) were estimated using random effects meta-analysis. Sensitivity analyses explored the impact of limiting meta-analyses to prospective studies or studies using an objective scoring system to diagnose NAS. Results A total of 67 studies met inclusion criteria for the systematic review; 29 were included in the meta-analysis. Any differences in the incidence of NAS in infants of women on higher compared with lower doses were statistically non-significant in analyses restricted to prospective studies or to those using an objective scoring system to diagnose NAS. Conclusions Severity of the neonatal abstinence syndrome does not appear to differ according to whether mothers are on high- or low-dose methadone maintenance therapy. NRS-433V Evidence-Based Practice Literature Search.   Kaltenbach, K., Holbrook, A. M., Coyle, M. G., Heil, S. H., Salisbury, A. L., Stine, S. M., & … Jones, H. E. (2012). Predicting treatment for neonatal abstinence syndrome in infants born to women maintained on opioid agonist medication. Addiction , 45-52. doi:10.1111/j.1360-0443.2012.04038.x Aim To identify factors that predict the expression of neonatal abstinence syndrome ( NAS) in infants exposed to methadone or buprenorphine in utero. Design and Setting Multi-site randomized clinical trial in which infants were observed for a minimum of 10 days following birth, and assessed for NAS symptoms by trained raters. Participants A total of 131 infants born to opioid dependent mothers, 129 of whom were available for NAS assessment. Measurements Generalized linear modeling was performed using maternal and infant characteristics to predict: peak NAS score prior to treatment, whether an infant required NAS treatment, length of NAS treatment and total dose of morphine required for treatment of NAS symptoms. Findings Of the sample, 53% (68 infants) required treatment for NAS. Lower maternal weight at delivery, later estimated gestational age ( EGA), maternal use of selective serotonin re-uptake inhibitors ( SSRIs), vaginal delivery and higher infant birthweight predicted higher peak NAS scores NRS-433V Evidence-Based Practice Literature Search. Higher infant birthweight and greater maternal nicotine use at delivery predicted receipt of NAS treatment for infants. Maternal use of SSRIs, higher nicotine use and fewer days of study medication received also predicted total dose of medication required to treat NAS symptoms. No variables predicted length of treatment for NAS. Conclusions Maternal weight at delivery, estimated gestational age, infant birthweight, delivery type, maternal nicotine use and days of maternal study medication received and the use of psychotropic medications in pregnancy may play a role in the expression of neonatal abstinence syndrome severity in infants exposed to either methadone or buprenorphine.   MacMullen, N. J., Dulsk, L. A., & Blobaum, P. (2014). Evidence-Based Interventions For Neonatal Abstinence Syndrome. Pediatric Nursing , 40 (4), 165-203. This review aimed to determine best nursing practice by systematically and critically reviewing the appropriate literature and expert guidelines. Using keywords and literature databases, over 480 journal titles were reviewed. Twenty-four articles and three expert guidelines were chosen. The majority of articles selected as evidence were Level IV – opinions of respected authorities based on clinical experiences, descriptive studies, case reports, or reports of experts. Two articles were Level I-II – experimental studies. Results of the review showed that traditional supportive interventions also have a body of evidence for their use. Although there is much research regarding neonatal abstinence syndrome (NAS), the majority of future research needs to be at a higher level of evidence. Nursing applications include obtaining evidence for best practice through diligent searches of the literature and expert guidelines. NRS-433V Evidence-Based Practice Literature Search.   Patrick, S. W., Kaplan, H. C., Passarella, M., Davis, M. M., & Lorch, S. A. (2014). Variation in treatment of neonatal abstinence syndrome in US Children’s Hospitals, 2004-2011. Journal Of Perinatology , 34 (11), 867-872. doi:10.1038/jp.2014.114 Objective: Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome experienced by opioid-exposed infants. There is no standard treatment for NAS and surveys suggest wide variation in pharmacotherapy for NAS. Our objective was to determine whether different pharmacotherapies for NAS are associated with differences in outcomes and to determine whether pharmacotherapy and outcome vary by hospital. Study Design: We used the Pediatric Health Information System Database from 2004 to 2011 to identify a cohort of infants with NAS requiring pharmacotherapy. Mixed effects hierarchical negative binomial models evaluated the association between pharmacotherapy and hospital with length of stay (LOS), length of treatment (LOT) and hospital charges, after adjusting for socioeconomic variables and comorbid clinical conditions.Result:Our cohort included 1424 infants with NAS from 14 children’s hospitals. Among hospitals in our sample, six used morphine, six used methadone and two used phenobarbital as primary initial treatment for NAS. In multivariate analysis, when compared with NAS patients initially treated with morphine, infants treated with methadone had shorter LOT (incidence rate ratio (IRR)=0.55; P<0.0001) and LOS (IRR=0.60; P<0.0001). Phenobarbital as a second-line agent was associated with increased LOT (IRR=2.09; P<0.0001), LOS (IRR=1.78; P<0.0001) and higher hospital charges (IRR=1.84; P<0.0001). After controlling for case-mix, hospitals varied in LOT, LOS and hospital charges. Conclusion: We found variation in hospital in treatment for NAS among major US children’s hospitals. In analyses controlling for possible confounders, methadone as initial treatment was associated with reduced LOT and hospital stay NRS-433V Evidence-Based Practice Literature Search.   Sarkar, S., & Donn, S. (2006). Management of neonatal abstinence syndrome in neonatal intensive care units: a national survey. Journal Of Perinatology , 26 (1), 15-17. Aims: To determine the monitoring and treatment of neonatal abstinence syndrome (NAS) in neonatal intensive care units (NICUs) following opiate or polydrug exposure in utero. Methods: A pretested questionnaire was distributed via email to the chiefs of the neonatology divisions with accredited Fellowship programs in Neonatal -Perinatal Medicine in the United States. Results: Of the 102 individuals contacted, 75 participated in the survey. In all, 41 of the respondents (54.5%) have a written policy regarding the management of neonatal NAS. The method of Finnegan is the most commonly used abstinence scoring system (49 of 75, 65%), while only three respondents use the Lipsitz tool. Opioids (tincture of opium, or morphine sulfate solution) are used most commonly for management of both opioid (63% of respondents) and polydrug (52% of respondents) withdrawal, followed by phenobarbital (32% of respondents) for polydrug withdrawal and methadone (20% of respondents) for opioid withdrawal. In all, 53 respondents (70%) use phenobarbital, and 19 (25%) use intravenous morphine to control opioid withdrawal seizures, while 61 (81%) use phenobarbital in cases of polydrug withdrawal seizures. Only 53 respondents (70%) always use an abstinence scoring system to determine when to start, titrate, or terminate pharmacologic treatment of neonatal NAS. Conclusion: The management of neonatal psychomotor behavior consistent with withdrawal varies widely, with inconsistent policies to determine its presence or treatment. Only about half of NICUs have written guidelines for the management of NAS, which may preclude effective auditing of this practice. Educational interventions may be necessary to ensure changes in clinical practice. Journal of Perinatology (2006) 26, 15-17. doi:10.1038/sj.jp.7211427; published online 24 November 2005 NRS-433V Evidence-Based Practice Literature Search

  • Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure

    Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure

    Research Critique on B-type natriuretic peptide-guided treatment for heart failure

    Working most of my years of nursing in the home health field, one of the goals was to help decrease the readmission rate of patients that have Congestive Heart Failure (CHF). In doing so, we worked closely with the CHF clinic to help monitor and teach these patients on the disease process and early signs and symptoms to monitor for exacerbation of CHF. This is an area that has peaked this writer’s interest. Patients that have CHF require monitoring such as detailed clinical assessment and a review of their medications.  This will also include “the need for titration and optimization in line with guidelines and to pick up possible side effects. The pharmacological treatment options for patients with left ventricular systolic function (LVSD) include diuretics, angiotensin-converting enzyme (ACE) inhibitors (angiotensin receptor blockers if ACE inhibitors are not tolerated), beta-blockers and mineralocorticoid receptor antagonists (MRA)” (CHF is a serious problem and result in a big financial burden to hospital Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure.  “Because excessive readmissions tend to indicate suboptimal care, government and commercial payers are focusing on 30-day readmission rates as a new quality measure for hospitals. The intent behind the measures is for the hospitals to provide better care by following evidence-based practice guidelines, which in turn, will reduce heart failure readmission rates” (Merkley, 2019, para. 4).

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Background of Study

    CHF occurs when the heart muscle does not pump blood as well as it should.  Therefore, it cannot meet all the needs of the body. “Symptoms of heart failure include breathlessness, fatigue and fluid retention. Outcomes for patients with heart failure are highly variable; however, on average, these patients have a poor prognosis. Prognosis can be improved with early diagnosis and appropriate use of medical treatment, use of devices and transplantation. Patients with heart failure are high users of healthcare resources, not only due to drug and device treatments, but due to high costs of hospitalization care. B-type natriuretic peptide levels are already used as biomarkers for diagnosis and prognosis of heart failure but could offer to clinicians a possible tool to guide drug treatment. This could optimize drug management in heart failure patients whilst allaying concerns over potential side effects due to drug intolerance” (McLennan et al., 2016, para. 1). The objective of this study was to see if CHF guided by serial BNP or N-terminal pro b-type natriuretic peptide (NT-proBNP) monitoring improves outcomes compared to treatment guided by clinical assessment alone.

    Method of Study

    Numerous search methods were used in this study such as the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, the Database of Abstracts of Reviews of Effects, and the NHS Economic Evaluations Database in Cochrane Library.  The study “included randomized controlled trial of NT-proBNP guided treatment guided by clinical assessment alone with no restriction on follow-up. Adults treated for heart failure, in both in-hospital and out-of-hospital settings, and trials reporting a clinical outcome were included” (McLennan et al., 2016, para. 3). The authors of this study also contacted the authors of relevant studies and experts in the relevant fields that pertained to this study. Out of 3379 references that were screened, 3044 were removed due to not being relevant to this study.  The remaining 335 references were then examined and from these 18 studies were included for this study. In these 18 studies, 3,660 patients with heart failure took part.  The ages of these patients were between 62 and 80 years old.  All areas were cited and references where current.  The author of this study also evaluated the strengths and weaknesses of the available studies. Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure

    Results of Study

    The findings of this study showed “that patients with CHF low-quality evidence showed a reduction in heart failure admission with NP-guided treatment while low-quality evidence showed uncertainty in the effect of NP-guided treatment for all-cause mortality, heart failure mortality, and all-cause admission. Uncertainty in the effect was further shown by very low-quality evidence for patient’s quality of life. The evidence for adverse events and cost of treatment was low quality, and we were unable to pool results” (McLennan et al., 2016, para. 10).  These findings indicated that hospital admissions due to CHF may be reduced when monitoring the BNP compared to clinical assessment only, but that the evidence was unclear on if there were fewer deaths from CHF being monitored with the BNP versus clinical assessment only groups.  The study will help to contribute to the nursing knowledge by shedding light on the education of BNP-guided treatment to these patients to reduce the number of hospital admissions/re-admissions due to CHF.

    Ethical Considerations

    The study was not approved by an Institutional Review Board (IRB) as it was a research of 18 research studies that had previously been performed to see if BNP-guided treatment would help with managing CHF. IRB is required only on research that involves human subjects. Being that this study did not actually perform its own trial studies, patient privacy was not an issue to consider. Some of the studies used in this study were partly or fully funded by a pharmaceutical company.  This might show some risk for bias in their results.  No ethical considerations were noted in these studies regarding the treatment or lack of treatment on patients.

    Conclusion

    By researching 18 randomized controlled trials with 3660 participants, the study was able to compare BNP-guided treatment with clinical assessment alone on patients that have CHF to see if hospital admission/re-admission rates would decrease.  Now that hospitals must comply with new quality measures or face financial penalties due to hospital re-admissions due to CHF, it is important to try to keep these patients at home and stable. Evidence of this study did show that BNP-guided treatment in patients with CHF had a reduction in hospital re-admission rate. However, the evidence did not show an improvement in the quality of life. The evidence found in this study did suggest that CHF admission rates were reduced by BNP-guided treatment (26%) versus clinical assessment alone (38%). What does this mean for the nursing practice?  It means that more follow-up is needed once these patients are released from the hospital.  This would include the use of more frequent visits to the physician, the use of CHF clinics, and home follow-up by using home care nurses. Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure.

     

    References

    McLennan, J., Heneghan, C.J., Perera, R., Clements, A. M., Glasziou, P. P., Kearley, K. E.,          Pidduck, N., Roberts, N.W., Tyndel, S., Wright, F.L., & Bankhead, C., (2016)

    Merkley, K., (2019). Reduce heart failure readmission rates.
    Health Catalyst.
    Retrieved from           
    https://www.healthcatalyst.com/reduce-heart-failure-readmissions-with-healthcare-            analytics/

    Direct quotations that are 40 words or longer are placed in a free-standing block of typewritten lines and omit quotation marks and is indented 1/2 inch from the left margin,

    See Perdue Owl at this link to help clarify this.

    https://www.ufv.ca/media/assets/academic-success-centre/handouts/Summarizing-A-Scholarly-Journal-Article-2009.pdf

     

    http://blog.efpsa.org/2013/02/28/how-to-read-and-get-the-most-out-of-a-journal-article/

     

    http://www.donnavandergrift.com/uploads/1/3/3/4/13345738/writingsummary.pdf

     

    My #AcWri Strategies: Write reflective memos

    McLennan, J., Heneghan, C.J., Perera, R., Clements, A. M., Glasziou, P. P., Kearley, K. E., Pidduck, N., Roberts, N.W., Tyndel, S., Wright, F.L., & Bankhead, C., (2016) B-type Natriuretic Peptide-guided treatment for Heart Failure.
    The Cochrane Database of Systematic Reviews
    (Dec. 22, 2016) Retrieved from
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449577/
     Intro to Nursing Research NRS-433V Research Critique on B-type Natriuretic Peptide-Guided Treatment for Heart Failure

  • hu245 unit 2 assignment ethical theories comparison chart examples

    hu245 unit 2 assignment ethical theories comparison chart examples

    HU245:
    Unit 2 Assignment – Theories of Morality

     

    Ethical Theories Comparison Chart

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Utilitarianism

    Ethical Egoism

    How is “good” Determined

    An act that produces the greatest happiness and promotes the most good for the most people.

    An act that promotes the individual’s long term interest.

    Most Noted Philosopher(s)

    Jeremy Bentham, John Stuart Mill

    Ayn Rand, Thomas Hobbes

    Major Strengths

    Seeks to maximize happiness and benefit all.

    Tries to encourage independence.

    Major Weaknesses

    One can’t always predict results or please everyone.

    One can be viewed as selfish.

    Ethics of Care

    Kantianism

    How is “good” Determined

    An act that nurtures the connections among those closest to each other.

    An act that is based on reason and duty, and would be considered ethical if everyone did the same.

    Most Noted Philosopher(s)

    Carol Gilligan, Nel Noddings

    Immanuel Kant

    hu245 unit 2 assignment ethical theories comparison chart examples

    Major Strengths

    We focus on those we love/who are closest to us.

    Emphasizes the rights of the individual.

    Major Weaknesses

    Threatens to devolve into tribalism.

    Emphasizes duty over the desire to do good.

    Prima Facie
    Duties

    Divine Command Theory

    How is “good” Determined

    Adhere to
    prima

    facie
    duties unless solemn reasons or circumstances say to do otherwise.

    Adhere to the commands of God/religious beliefs, regardless of the consequences that might ensue.

    Most Noted Philosopher(s)

    Sir William David Ross

    Joan of Arc

    Major Strengths

    Sets principles yet recognizes outcomes of actions.

    Provides moral law and motivation to follow it.

    Major Weaknesses

    When is one duty stronger than another?

    Evil has been done by so called “religious” people.

    Virtue Theory

    How is “good” Determined

    Focus not on making good decisions but making good people who will decide correctly.

    Most Noted Philosophers

    Aristotle, Confucius, McIntyre

    Major Strengths

    Avoids problems/unifies emotions and reasoning.

    Major Weaknesses

    Very difficult to apply to specific questions.

     

     

    HU245 Unit 2 Assignment

     

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    Contribution to overall utility in maximizing happiness and pleasure.

    Everyone ought to act in my own best self-interest.

    Holding interpersonal relationships highly

    Respecting rational beings and having dignity

    Treating everything equal

    Morality is somehow dependent upon God. Morality comes by the obedience of God’s commands

    By bettering their self-characteristics

    Most Noted Philosopher(s)

    Jeremy Bentham and John Stuart Mill

    Epicurusm Ayn Rand, Jesse Kalin, and John Hospers

    Carol Gilligan

    Immanuel Kant

    William David Ross

    Plato, Kai Nielson, and J. L. Mackie

    Aristotle

    Major Strengths

    It is straightforward and based on the single principle of lowering pain and higher pleasure and happiness. Aims towards a happy life.

    This encourages individual freedom and responsibility. It is easier to determine self-interest

    Recognizes weaknesses in moral theories and emotions in moral reasoning

    Humans are morally autonomous, authors of their own morality. The categorical imperative promotes quality.

    This theory promotes an equal and safe environment

    The theory commnds free humanity from having to laboriously discover what is proper human conduct

    Encourages high levels of moral behavior. People learn to be moral by practice

    Major Weaknesses

    Providing support for ethical egoism, and that can be very difficult what will turn out to be good consequences for others. Everyone sees “good” and “bad” differently.

    The theories apply only to one individual and cannot be laid down for humanity in general. Not being able to apply to a group of people or everyone is a real setback.

    Some critics think that by accepting the theory, one may be raising female values above male values.

     Acting out of a sense of “duty for duty’s sakes” is cold and impersonal. Duty without guidance from human sympathy can lead to rigid moral fanacticism.

    Someone’s way of treating someone equally could be the complete opposite of someone else’s

    This theory, since it based upon God is very controversial

    Which virtues are the most important? The virtues can become conflicts.

     

    Ethics: Theory and Practice (Updated Edition) 11the Edition

     

     

     

    HU245 Unit 2 Assignment

     

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    Its determined by constructing the utmost joy and encouraged the greatest good for the most people.

    A piece that encourages a person’s long-term welfares.

    An item that fosters the connections amongst those closest to each other.

    It’s constructed on purpose and duty; considered to be ethical if everyone did the same.

    We must adhere to obligations unless circumstances tell us not too.

    If you believe in God, anything you do is right, and everyone is good.

    Described by oral distinction and emphasis on the good charisma of people

    Most Noted Philosopher(s)

    John Stuart Mill, Jeremy Bentham

    Thomas Hobbes, Ayn Rand

    Carol Gilligan, Ned Noddings.

    Immanuel Kant

    Sir William David Ross

    Joan of Arch

    Aristotle

    Major Strengths

    -Pursues to make the most of happiness and benefit everyone.

    -Upfront in the aspect of pain, pleasure, and happiness.

    -Tries to encourage

    Freedom.

    -Promotes good lifestyles for human beings to follow if they want to be moral.

    -Promotes you to focus on the people we love and are closest to us.

    -Defines the understandings as diverse, but similarly binding.

     

    -Underlines the privileges of the individual.

    -Delivers common moral strategies.

    -It can provide a guideline for human rights and treat everyone fair.

    -Operates on principles that everyone should follow.

    -You can shadow commands without fear of consequence of anything else.

    -If a “Higher Being” is the source of morality, then its teachings will certainly be moral.

    -Following virtues makes for better individuals and motivates personal relationships. -Practical theory, dependable with human nature.

    Major Weaknesses

    -One can’t continuously expect outcomes or please every person.

    – Its also immeasurable in the fact that you cant always compare feelings.

    -People can view you as being selfish for being so detached from others.

    -Tough to decide all consequences, unpredictable.

    -Threatens to devolve into tribalism.

    -Generates an one-sided ethical structure between the sexes.

    Kind of harsh environment, people don’t look out for one another.

    -Inconsistent moral laws, exception to moral laws.

    -Difficult to understand what obligation takes precedence over another.

    – No concrete evidence to support Ross’s logic.

    -Hard for some to believe in; is it even reliable?

    -It is extremely difficult to understand a “Higher Beings” teachings.

    -It is restricted to helping individuals and not the overall population

    – Lacks effective ethical guidelines; Aristotle’s Basic Human Function.

     

     

    References:

    Thiroux/Krasemann, 2015.  Ethics: Theory and Practice.  Updated 11th Edition.  Boston: Pearson

     

     

     

    HU245 Unit 2 Assignment

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

     

    The moral rightness (or wrongness) of actions and policies

     

     

    Utilitarianism defines the Good as pleasure without pain.

    Human ought to act in their own self-interest,

     

    Nothing was good in itself except a good will.

     

    All human beings must obey in a general way before any considerations enter into the picture.

     

    What is good and right is what this being has stated is good and right.

     

    If one believes there is a God, goddess, or gods, and they have set up a series of moral commands, then an action is right and people are good if they obey these commands, regardless of the consequences.

     

     

     

    Aspires to develop good people and good human communities.

     

    Most Noted Philosopher(s)

     

    Jeremy Bentham

    and John Stuart Mill.

     

     

    Epicurus, Ayn Rand, Jesse Kalin, and John Hospers, among others.

     

     

    Carol Gilligan

     

     

    Immanuel Kant

     

     

    Sir William David Ross

     

    Thomas Aquinas, Robert Adams, and Philip Quinn

    Aristotle

    Major Strengths

     

    Utilitarianism requires that we consider
    everyone’s
    pleasure, not just our own.

     

    There is more to life than
    physical
    pleasure.

     

     

    Cannot be equated with selfishness, nor should it necessarily be equated with having a big ego or being conceited.

     

     

    It is possible by reasoning alone to set up valid absolute moral rules that have the same force as indisputable mathematical truths.

     

     

    If it feels good—do it and Do your own thing.

     

    Major Weaknesses

     

    There is not enough time to calculate the effects of our actions on the general happiness. Therefore it is useless.

     

    Utilitarianism implies that we should
    always
    act in order to

    Maximize happiness; this is too strict. It is asking too much of

    people to be always motivated to promote the general happiness

     

     

    There seems to be no clear criteria either for choosing which duties are prima facie or for deciding how to distinguish among them after they have been established.

     

     

    Are inherent in the lack of rational foundation for the existence of some sort of supernatural being or beings and the further lack of proof that the support of such a being or beings is enough to make rational and useful the ethical system in question.

     

     

    HU245 Unit 2 Assignment

     

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    What will bring about a good or desirable ending. What it the greatest good for the majority.

    In Ethical Egoism I would do what is in my best interest.

    Men are concerned with Justice and rights. Women are concerned with generosity.

    A person’s duty to act within a set of moral rules regardless of what happens.

    A person must follow a set of rules but that person should think about the end result.

    In order to be good than a person must follow supreme beings or the universes rules.

    Having excellence and improving ones character.

    Most Noted Philosopher(s)

    Jeremy Bentham and John Stuart Mill

    Ayn Rand

    Carol Gilligan and Lawrence Kohlberg

    Immanuel Kant

    Sir William David Ross

    Joan of Arc

    Aristotle and Confucius.

    Major Strengths

    It looks at what is best for everyone. It thinks on a large scale; such as, globally, or the community as a whole, or what is good for the country.

    The thought that a person should be responsible and self sufficient and allows others to do the same.

    It works at helping to explain that men and women need to look at how the other gender think and strengthen their weaknesses.

    Being able to set up moral rules that are based on reason and logic. All rules must be logical and consistent.

    Following a set of rules before knowing all the particulars of the situation.

    When a person follows the dictates of their higher power they are acting correctly regardless of the consequences.

    This theory is based on improving oneself both from within and in the person’s environment.

    Major Weaknesses

    Sometimes in saying the greatest good for the masses, the minority gets left out.

    What may be in my best interest may not be in my friends’ best interest, so whose interest do we act in? There is an inconsistency.

    It can easily be said that men are superior to women and that gender makes a person right or wrong.

    Conflicting duties. Under this theory nothing can be contradictory and we cannot obey 2 laws that contradict.

    What is the basis for the Prima Facie duties?

    There is no proof of a supreme being, even if there is whose ideology is the correct one to follow.

    How is the model of virtue selected and who does the average person model their life after.

     

     

     

    HU245 Unit 2 Assignment

     

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    The greatest good for the greatest number.

    Perform act that will bring greatest good to all.

    Based on the prescriptive approach.

    Everyone should act in own self-interest.

    What is morally right or wrong.

    Importance of response

    Reasoning alone will set up moral rules

    Duties that must be adhered to unless circumstances tell us not to.

    If I believe there is a God, any action is right and people are good regardless of consequences

    Defined by oral excellence.

    Emphasis on the good character of people

    Most Noted Philosopher(s)

    Jeremy Bentham

    John Stuart Mill

    Ayn Rand

    Jesse Kalin

    Alejandro Tugender

    Carol Gilligan

    Kant

    Sir

    William David Ross

    Joan of Arc

    Aristotle

    Major Strengths

    One must approach each situation individually.

    Decisions are based on intuition.

    People can appear humble.

    More in self-interest to be selfless.

    Attention to detail in situations to promote interest.

    Consideration measured by vulnerability.

    Logically consistent

    Universalizable

    hu245 unit 2 assignment ethical theories comparison chart examples

    Does not believe that a conseque-nce makes an action right or wrong.

    Telling the truth

    Making up for what we do to others.

     I should obey a supernatural being regardless of consequences

    What is good and right is stated by that being.

    The end of human life is happiness.

    Humans have the capacity fro goodness.

    Major Weaknesses

    This theory is based on consequences.

    Morality cannot be rationalized.

    This theory is inconsistent.

     

    Hard to take moral advice.

     

     

    Rests on the understanding of relationships.

    Majority was feministic views, only one view point.

    Act is immoral unless authorized.

    Some rules have questionable moral values.

    Being able to tell the difference between prima facie or not.

    To know or not to know whether something is true.

    Loss of life

    Accept the consequences

    Based on assumptions that are hard to prove.

    Morality in innate.

     

     

     

    HU245 Unit 2 Assignment

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    Good is determined by the action that will bring the greatest good for all.

     

    Good is looking out for your own self-interest.

    hu245 unit 2 assignment ethical theories comparison chart examples

    Men and Women Are Different When It Comes to Ethical Decision Making

    Does not depend on the consequences of actions, but on whether they fulfill our duty.

    There are certain binding conditional duties to 
    determine
     what it is we ought to do.

    actions are morally 
    good
     because of their being commanded by God. Moral obligation is obedience to God’s commands; what is morally right is what God desires.

    Character based ethics. This type of moral theory is all about becoming a certain kind of person. Its concern, ideally, is the development of human excellence.

    A good person is someone who lives virtuously – who possesses and lives the virtues.

     

    Most Noted Philosopher(s)

    Jeremy Bentham & John Stewart Mill

    Epicurus, Ayn Rand, Jesse Kalin, and John Hospers

    Carol Gilligan Lawrence Kohlberg

    Immanuel Kant

    Sir William David Ross

    William of Ockham, St Augustine, Duns Scotus, and John Calvin

    Aristotle, Confucius, Alasdair MacIntyre,Roger Ames, Henry Rosemont, St. Augustine, Ben Franklin

    Major Strengths

    Fewer Conflicts if the majority is happy.

    It is simple, without complex rules.

    It is easier to determine self-interest.

    It promotes individual freedom and responsibility.

    Recognizes weaknesses in moral theories and emotions in moral reasoning.

    Recognizes need to rectify imbalances/inequities.

    hu245 unit 2 assignment ethical theories comparison chart examples

    Clarity. Absolute and easy to apply.

    Creates a distinction between duty and inclination.

    Bad actions may have good consequences.

    Do not necessitate the difficult task of computing consequences for a moral action. Provide, in their rule form, a strong set of moral guides.

    Avoid the pitfall of a cost–benefit analysis approach to morality.

    Moral duties are absolute.

    Preserves the sovereignty of God.

    Provides moral law as well as motivation to follow it.

    Holistic – Unlike other ethical theories that regard emotions as dangerous to morality, It considers the whole person, including their emotions, qualities of character and practical skills.

    Agent-Centered – other ethical ethics are concerned with obligation or consequence. Virtue theory examines the character of the moral agent.

    It regards Human relationships as important and stresses the need to look after those close to you. It allows people to make ethical decisions based on his or her own moral well-being.

     

     

    Major Weaknesses

    It is hard to know what would make most happy.

    It is impossible to know what the consequence will be.

    Communities are not self-sufficient.

    Complete self-interest cannot be served.

    Difficult to define, contexts difficult to identify. Moral emotions difficult to quantify/define.

    Lack of agreement between theorists and framework

    Promotes rule breaking due to sometimes severe consequence.

    Situations are not the same, so morality cannot be so absolute.

    hu245 unit 2 assignment ethical theories comparison chart examples

    Makes morality into something arbitrary.

    A lot of evil has been done by religious people in the name of religion.

    Religious morality closes off dialogue, can leads to group intolerance and threaten church-state separation.

    Broad – there is no single criteria for goodness.

    It only concentrates on a limited number on virtues and therefore is not able to focus on the big picture.

    Vague – there is no clear system for making moral choices

     

     

     

    HU245 Unit 2 Assignment

    Ethical Theories Comparison Chart

    Consequential Theories

    Ethical Egoism

    Utilitarianism

    Ethics of Care

    How is “Good” Determined

    ·    Based on individual morality

    ·    “Everyone should perform that act or follow that moral rule that will bring about the greatest good (or happiness) for everyone concerned.” (Thiroux, 2014)

    ·    By the joint ethical decision of a man and a woman

    Most Noted Philosopher(s)

    ·    Epicurus

    ·    Ayn Rand

    ·    Jeremy Bentham

    ·    John Stuart Mill

    ·    Carol Gilligan

    Major Strengths

    ·    Moral obligation not to harm yourself

    ·    Universal ethical egoism “states as its basic principle that
    everyone
     should always act in 
    his or her own
     best self-interest” (Thiroux, 2014)

    ·    It is easier to determine self-interest than to worry about others interests

    ·    Hive mind – people work together to determine the best outcome for all people instead of one’s self

    ·    Rule Utilitarianism – “Everyone should always establish and follow that rule or those rules that will bring about the greatest good for all concerned” (Thiroux, 2014)

    ·    Ethics of care identifies the emotional weaknesses of both sex’s and requires both to work together

    ·    Requires wisdom and not just a calculation of consequences

    hu245 unit 2 assignment ethical theories comparison chart examples

    Major Weaknesses

    ·    Willing to harm others

    ·    Individual and Personal ethical egoism focus on self rather than society

    ·    Open to interpretation of right and wrong

    ·    Relies heavily on isolation in order to be functional

    ·    “No absolute rules against killing, stealing, lying, and so on” (Thiroux, 2014)

    ·    Difficult to teach the younger generation when there are no rules or guidelines

    ·    Because of diversity it is nearly impossible to make everyone happy

    ·    There is no definition of what is right or wrong other than an agreement between the sex’s

    ·    Concerned more with context rather than principles

     

     

     

    Non-Consequential Theories

    Divine Command Theory (DCT)

    Kantianism

    Prima Facie Duties

    How is “Good” Determined

    ·    God/Higher Power

    ·    Bible/religious readings

    ·    “Act in accordance with moral rules, laws, or principles regardless of interests or consequences.” (Thiroux, 2014)

    ·    Always do that act in accord with the stronger 
    prima facie
     duty

    ·    Always do that act that has the greatest degree of 
    prima facie
     rightness over 
    prima facie
    wrongness. (Thiroux, 2014)

    Most Noted Philosopher(s)

    ·    Plato

    ·    Thomas Aquinas (Austin, n.d.)

    ·    Immanuel Kant

    ·    Sir William David Ross

    Major Strengths

    ·    “Provides an objective metaphysical foundation for morality” (Austin, n.d.)

    ·    Removes the questioning of what is right or wrong

    ·    Forces morality and good nature of people in order to achieve a place among the gods/higher power

    ·    People need to think logically not emotionally

    ·    Easy to identify immoral people

    ·    Universalizable – “must be able to be stated so as to apply to everything without exception” (Thiroux, 2014)

    ·    Learn from other people’s mistakes

    ·    Uses the idea of intuitionism which states that people naturally know right from wrong and that we can naturally recover from mistakes. (Thiroux, 2014)

    ·    People have a duty to moral correct similar to DCT

    Major Weaknesses

    ·    “Lack of proof that the support of such a being or beings is enough” (Thiroux, 2014)

    ·    People do not think outside of the box

    ·    Judgement towards those that are not religious which in turn breaks the religious ethic of “do not pass judgement”

    ·    Some logics can lead to immoral consequences. For example, logically a person has to keep a promise and that not breaking a promise could result in someone being seriously injured or even killed. (Thiroux, 2014)

    ·    No room for mercy. Kant believed in “eye for an eye”

    ·    Open to interpretation

    ·    Similar to Kantianism, the consequences of a duty could result in an immoral outcome

    ·    Intuitionism is viewed as a “hunch” (Thiroux, 2014)

    ·    Incomplete list of duties

    hu245 unit 2 assignment ethical theories comparison chart examples

     

     

     

    Virtue Theory

    Virtue Theory

    How is “Good” Determined

    ·    “Virtue ethics are character based ethics” (Thiroux, 2014)

    ·    Requires both moral judgement and understanding of law and order

    Most Noted Philosopher(s)

    ·    Aristotle

    ·    Kongzi or “Confucius”

    Major Strengths

    ·    “Acts that are objectively virtuous, without a knowledge that the acts are good and without actively or rationally choosing them ourselves” (Thiroux, 2014)

    ·    Utilizes the “mean” between excess and defect which keeps people content and/or peaceful – Moderation

    ·    Seeks to develop the moral person from within and from without

    Major Weaknesses

    ·    Unknown if virtue is taught and learned or natural. Virtuous people are usually identified in older age instead of youth

    ·    Human flourishing and well-being are undefined

    ·    Relies on having someone to model after that is already virtuous. If there is no one to model after, then it is left to interpretation

     

     

     

    References

    Austin, M. W. (n.d.) Internet encyclopedia of philosophy. Retrieved October 1, 2016, from http://www.iep.utm.edu/divine-c/

    Thiroux, J. P., Krasemann, K. W. (2014-12-01). 
    Ethics: Theory and Practice (Updated Edition), 11th Edition
    . [VitalSource Bookshelf Online]. Retrieved from https://kaplan.vitalsource.com/#/books/9781323130162/ hu245 unit 2 assignment ethical theories comparison chart examples

     

     

    HU245 Unit 2 Assignment

    Ethical Theories Comparison Chart

    Utilitarianism

    Ethical Egoism

    Ethics of Care

    Kantianism

    Prima Facie
    Duties

    Divine Command Theory

    Virtue Theory

    How is “good” Determined

    An act is moral if it brings a desirable end, for the majority.

    An act that is in one’s own best interest is good.

    -An act is good if it can be made into a rule for all human beings

    Nothing is good in itself except good will, consequences should not affect morality

    -Adhering to the Prima Facie is our moral obligation, and is good.

    -An act is considered good if it is commanded by a “higher” power

    -By honoring virtuous habit, the right or good choice will be made.

    Most Noted Philosopher(s)

    -Jeremy Bentham

    -John Stuart Mill

    -Ann Rand

    -Jesse Kalin

    -John Hospers

    -Carol Gilligan

    – Immanuel Kant

    – Sir William David Ross

    -St Augustine

    -John Calvin

    -Duns Scotus

    -Aristotle

    Major Strengths

    -Attractive to the majority

    -Fairness is easily determined because of its basic principles

    -Ensures personal needs will be met

    -Encourages individual freedom and responsibility

    -Everyone deserves care mindset

    -Recognizes weakness in moral theories

    -Provides a basis for human rights

    -Aims to treat everyone fairly

    hu245 unit 2 assignment ethical theories comparison chart examples

     

    -Provides guidelines to morality

    -Easy to follow rules

    -Commands are given by the ultimate authority, making the reliable and trustworthy

    -Human begins can follow commands without fear of consequences or anything else

    – Following virtues makes for better individuals

    -motivates personal relationship and the sense of community

    Major Weaknesses

    -Results depend on the prediction of an action

    -Impersonal and overlooks the individual to serve the “greater good”.

    -Inconsistent

    -requires everyone to participate in its philosophy to be successful

    -Disrupts the philosophy of gender equality

    -Women’s values are held higher then men’s values

    – “Eye for an eye” mindset does not allow for mercy

    -Universal rules do not help when each situation is different

    -Hard to determine which obligations take precedence

    -Lacks rational foundation of the existence of said “higher” powers

    -Can these “higher” powers be proven trustworthy?

    – Lacks a distinction between was acts are morally acceptable and which acts are not.

    -It is limited to helping individuals and not the population.

    hu245 unit 2 assignment ethical theories comparison chart examples

  • Managed care Costs

    Managed care Costs EACH DISCUSSION QUESTION IS 400 WORDS, APA FORMAT WITH 2 REFERENCES. PLEASE DON’T PUT THEM ALL TOGETHER, SEPARATE EACH WITH ITS OWN REFERENCES

    1)In what ways does managed care manage costs? Is care compromised in the process?

    2) Describe the difference between employer-sponsored health insurance plans and private plans.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    3) Answer both of the following questions honestly and professionally:

    Discuss the factors and approach you will use to develop a professional partnership with your selected site (MY SITE IS PLANNED PARENTHOOD)

    What is the importance of collaborating with other healthcare professionals in order to establish trusting relationships to gain commitment for mobilizing health initiatives?v

  • iHuman case: Rand Hall V3 PC

    Complete only the History, Physical Exam, and Assessment sections of the iHuman case: Rand Hall V3 PC

    Discussion Question 1

    Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

    Do you have any pain or other symptoms associated with your cough?

    The patient complained of cough and painful inspiration.  It is important to ask about the pain associated with the cough to determine possible causes.  According to Goolsby & Grubbs (2014) a cough is classified as acute (lasting up to 3 weeks), subacute (lasting 3-8 weeks, and chronic (lasting 8 weeks or longer). iHuman case: Rand Hall V3 PC

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Have you had the pain in your chest before? 

    It is important to determine if the chest discomfort is a new symptom or has occurred previously.  The practitioner must question the patient to determine the severity of the pain and if it is sharp, aching, or dull (Goolsby et al., 2017).  If the patient has a cough and complains of chest pain or discomfort when coughing, it is important to pinpoint the exact location and determine if there is any radiation and how it relates to respirations (Goolsby et al, 2014).

    Discussion Question 2

    Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

    Administered a pain stimulus to a conscious patient.

    A verbally conscious patient is able to describe his pain and does not need a pain stimulus administered.  There are several pain scales that can be used.  Examples of these scales include the numeric rating scale (NRS), visual analog scale (VAS), and the verbal rating scale (VRS) (Goolsby et al., 2014).  Regardless of the scale used, it is important to assess each patient’s pain using the PQRST mnemonic.  This stands for palliative/provoking, quality, radiation, severity, and timing (Goolsby et al., 2014).

    During the HEENT exam, I did not inspect the eyes.

    Inspection of the eye is the primary technique when assessing the eyes (Goolsby et al., 2014).  It is important to access the lid, looking for any ptosis and to check the lid location is relation to other structures, such as the pupil and iris (Goolsby et al., 2014).  Also, according to Goolsby et al. (2014), it is equally important to inspect the conjunctiva and sclera for any redness or discharge.

    Discussion Question 3

    Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text. iHuman case: Rand Hall V3 PC

    During the physical exam, one key finding that I included was bronchial breath sounds.
      Lung sounds are auscultated first on the posterior side and then moving to the anterior, both in a ladder motion (Bickley, 2017).  Bronchial breath sounds are harsher, louder, and higher-pitched than bronchovesicular or vesicular breath sounds (Bickley, 2017).  There is a short silence between inspiration and expiration and expiratory sounds last longer than inspiratory sounds (Bickely, 2017).  They should normally be heard over the manubrim (the larger proximal airways).  If the breath sounds are heard in a location distant from this location, the practitioner should suspect replacement of air-filled lungs by air or consolidated tissue (Bickely, 2017).

    Discussion Question 4

    Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

    During the assessment phase of the visit, I left out the orthostatic blood pressure drop. 
    Orthostatic blood pressure is classified as a drop of at least 20 mm Hg in systolic pressure or 10 mm Hg drop in diastolic pressure within 3 minutes of standing (Bickley, 2017).  This is common problem of older adults and should be suspected if the patient is noted to have a substantially lower blood pressure when past blood pressures have been significantly higher.  It is accessed by measuring the blood pressure and heart rate in the supine and standing positions (Bickley, 2017).  The normal finding is that as the patient changes from the horizontal position to the standing position, the systolic pressure remains unchanged or drops slightly and the diastolic pressure rises slightly (Bickley, 2017).

    Discussion Question 5

    Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

    I listed pneumonia, pneumocystis as a diagnosis. However, this was not correct.  The correct differential diagnosis should have been community-acquired pneumonia.

    This type of pneumonia occurs outside of the hospital and is most commonly caused by
    Streptococcus pneumoniae, Staphyloccus aureus, and Haemophilis influenzea
    (Goolsby et al., 2014).  The symptoms of community-acquired pneumonia include cough, fever, malaise, chills, rigors, and/or chest discomfort (Goolsby et al., 2014).  Many times, the patient will present to the clinic obviously ill.  Signs include abnormal vital signs, uneven fremitus, and the area over the consolidation will be dull when percussed (Goolsby et al., 2014).  When auscultating the lungs, bronchial breath sounds can be heard, with crackles many times (Goolsby et al., 2014).  The CURB-65 is a tool used to determine if the patient warrants a hospital admission (Goolsby et al., 2014).  It rates confusion, BUN, respiratory rate, blood pressure, and age and each area is given one point if it is present (Goolsby et al., 2014).  If the total score is 3 to 5, will require hospitalization for treatment (Goolsby et al., 2014).

     

    References

    Goolsby, J. M., & Grubbs, L. (2014). 
    Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses
     (3rd ed.). [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780803645011/

    Bickley, L. S. (2017). 
    Bates’ Guide to Physical Examination and History Taking
    (12
    th
    ed.). [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781496354709/

     

     

     

     

    Discussion Question 1

    Based on your performance and the expert feedback in your 
    HISTORY
     collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

    Two questions that I did not ask specifically were:

    Does the pain in your chest radiate someplace else?
    Where? And, any
    change in your chest pain since it began?
    I really missed more than two questions about chest pain. I asked about pain associated with his cough but did not explore his complaint of chest pain to the depth the expert said I should have. Although the pain the patient described did not seem to be cardiac in nature, according Goolsby (2015) any complaint of chest pain should be thoroughly investigated in all patients. Initially, determine whether the patient is having active cardiac symptoms during the evaluation, which would require emergent referral. Start by asking the patient about current medicines and comorbidities. Ask whether this is the first episode of chest pain or a recurrent symptom. Ask how long the chest pain has been going on, whether it is constant or intermittent, and whether it radiates to either arm, back, neck, or jaw Goolsby (2015). iHuman case: Rand Hall V3 PC

    Discussion Question 2

    Based on your performance and the expert feedback in your 
    PHYSICAL EXAM
     collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

    Two errors during the physical exam were:

    Failure to assess and measure the jugular venous pressure
    . Jugular venous pressure can be useful in the differentiation of different forms of heart and lung diseases and should be included during a cardiopulmonary exam (Buttaro et al., 2017). An elevated Jugular venous pressure measurement could be a sign of right side heart failure, pulmonary hypertension, and tricuspid stenosis (Buttaro et al., 2017).

    Incorrect lung sound documentation:
    Adventitious breath sounds are extra and abnormal sounds detected in addition to the expected breath sounds. Terms such as rhonchi, wheezes, and crackles are used to describe these adventitious sounds. It is important to provide as many descriptors as possible relative to the adventitious sound. Descriptors can include details of the detected pitch, amplitude, and quality of the sound. For instance, crackles can be described as loud or soft, coarse or fine. Wheezes, or rhonchi, can be described as loud or soft, high- or low-pitched, coarse/sonorous, squeaking, or hissing/sibilant. Another important characteristic to note is whether adventitious lung sounds occur early or late in the respiratory cycle. All of these characteristics are helpful in determining the cause Goolsby (2015) iHuman case: Rand Hall V3 PC.

    Discussion Question 3

    Based on your performance on the 
    PHYSICAL EXAM
     collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

    One key finding was:
    Tactile fremitus.

    The quality of tactile fremitus is determined by palpating symmetrical areas with the palmar surface of the hands and fingers, as the patient is directed to speak, usually repeatedly saying “99” or “1-2-3” in a loud and a low-pitched voice. This maneuver provides only a rough estimate of lung condition but is useful in guiding further assessment. Areas of increased fremitus should raise the suspicion of conditions resulting in increased solidity or consolidation in the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis. Conversely, areas of decreased fremitus raise the suspicion of abnormal fluid- or air-filled spaces, such as occurs with pleural effusion, pneumothorax, or emphysema. In the instance of an extensive bronchial obstruction, no palpable vibration is felt in the related field Goolsby (2015) iHuman case: Rand Hall V3 PC.

    Discussion Question 4

    Based on your performance and the expert feedback in your 
    ASSESSMENT
     identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

    I listed pneumonia as a diagnosis but did not specify that it was community acquired. The correct diagnosis should have been community-acquired pneumonia. This type of pneumonia occurs outside of the hospital and is most commonly caused by
    Streptococcus pneumoniae, Staphyloccus aureus, and Haemophilis influenzea
    (Goolsby et al., 2015).  The symptoms of community-acquired pneumonia include cough, fever, malaise, chills, rigors, and/or chest discomfort (Goolsby et al., 2015).  Many times, the patient will present to the clinic obviously ill.  Signs include abnormal vital signs, uneven fremitus, and the area over the consolidation will be dull when percussed (Goolsby et al., 2015).  When auscultating the lungs, bronchial breath sounds can be heard, with crackles many times (Goolsby et al., 2015).

    Discussion Question 5

    Based on your performance and the expert feedback in your 
    ASSESSMENT 
    of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

    I missed:
    Angina as a differential diagnosis

    According to Bickley (2017), the complaint of chest pain should warrant the provider to elicit the seven attributes of chest pain (OLDCART) to determine its cause. A cardiac origin for the chest pain should always be kept on the list of differential diagnoses for all adults

    I missed:
    Angina as a differential diagnosis

     

    Bickley, L. (2017). 
    Bates’ guide to physical examination and history taking
    . (12th ed.) [South University]. Retrieved rom 
    https://digitalbookshelf.southuniversity.edu/#/books/9781496354709/

    Goolsby, Jo, M., Grubbs, Laurie. (2015). Advanced assessment: Interpreting findings and formulating differential diagnoses. [South University]. Retrieved from
    https://digitalbookshelf.southuniversity.edu/#/books/978080364501
     iHuman case: Rand Hall V3 PC

  • Accountability in healthcare essay

    Accountability in healthcare essay

    Explain the flow of funds within an organization including private pay and third party reimbursement.

    Assignment Description:
     This assignment will be at least 1000 words or more

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    This week you will reflect upon accountability in healthcare to answer the following questions:

    How can you prevent abuses and inefficiencies in third party payments?

    Briefly define the flow of funds in the Care Organization.

    What challenges do consumers face who are enrolled in private insurance?

    What methods can you use to empower the consumer? Accountability in healthcare essay

    Assignment Expectations:
     How will students be successful?

    Length:

    1000-1250 words (4-5 pages); answers must thoroughly address the questions in a clear, concise manner

    Structure:

    Include a title page and reference page in APA style

    References:

    Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions Accountability in healthcare essay

  • NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

    NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

    iHuman Case of Emma Ryan, 2 year old with chief complaint of runny nose, cough, and fever.

    Discussion Question 1

    Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    During history collection, when going through patient’s symptoms with her mother, I failed to further investigate an ear problem, because patient is a 2 year old, she was not able to communicate and presented with discomfort during visit.  I asked about ear pain or discomfort such as the child tugging at her ear and mother replied that there were no signs of that, but I failed to ask if there were any signs of discharge or bleeding of the ears. The collection of these signs are clinically important because that could lead to a better understanding initially, prior to physical exam, as bleeding discharge from the ears can indicate and external ear canal wound, skull fracture, or traumatic perforation of the tympanic membrane (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127).   Discharge of the purulent type can also be a sign of infection or a foreign body in the ear (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127).  Another question that was missed during history collection was if patient had a flu shot.  I stopped at asking if when her last immunizations were given and if they were up to date, but failed evaluate mother’s answers further and ask about the flu vaccine.  This is very important to assess and document because children are a target population in receiving flu vaccine due to the benefits of reducing rates of pneumonia in children and reducing the incidence of influenza in the community and should be offered to all children older than 6 months that have no contraindications (Seasonal influenza vaccine in children, n.d). NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

     

    Discussion Question 2

     

    Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

     

    During physical exam, I went through all the systems and was able to accomplish the exam with more ease than last week, however, I added a mental state on vital signs that was not necessary and in looking back I understand why it was not necessary since patient is 2 years old, cannot verbally express what she is feeling, and although I can observe that she is awake or alert and in discomfort, it is not necessary in gathering the information needed.  Another error in my exam performance that was not a required exam was looking up nostrils, or internal examination. Initially I felt this may be important to check if there were any abnormalities, however, this is an exam that is more appropriate for those experiencing significant nasal symptoms, the internal examination of the nose is best accomplished after asking the patient to blow his or her nose (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 128).  I also realize it would not be the most appropriate or comfortable exam for a “fussy” two year old.

     

    Discussion Question 3

     

    Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text. NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

     

    One key finding when performing the physical exam was rooted in symptom of cough and erythema of the pharynx.  Mother reported that she was extremely exhausted from staying up with Emma all night because of the crying and coughing.  During exam, a point of care to further evaluate would be a throat culture to determine if this symptoms was due to an infection such as strep throat and even pharyngitis.  According to the Centers for Disease Control and Prevention (2018), conditions such as strep throat is most common in children ages 5-15 years old and rare in children younger than 3 years old, but Emma is in daycare, which increases the possibilities of contracting streptococcus infection.

     

    Discussion Question 4

    Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

     

    On identification of the problem categories, my selection based on the information from history collection and physical exam and assuming that there was an infection present, I selected immune systems as the problem category which was incorrect.  After carefully reviewing it and feedback received, I realize that I was getting ahead of myself and not thinking systematically and selecting the correct problem category which was respiratory due to the erythema and bulging of the tympanic membranes and pharynx along with other signs that belong to the respiratory system.  This step made me realize that I need to follow the process and not jump to the answer so fast without looking at all the other factors present.

     

    Discussion Question 5

    Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

     

    A missed differential diagnosis that I failed to add was laryngotracheobronchitis or croup.  This condition is characterized by a “barking” cough and labored breathing or stridor. On history collection and physical examination, mother reported no labored breathing of difficulty breathing and I failed to explore any defining characteristic of the cough experienced and therefore did not think of adding this differential diagnosis.  However, those affected by “croup” show an inflammation of the larynx, throat, and upper bronchial tubes causing hoarseness, cough, which could easily be experienced by our patient Emma, and those affected are children between the ages of six months and five years, but two-year-olds seem to be the most commonly affected (Henningfeld, D. P., 2013). NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

     

    Centers for Disease Control and Prevention (2016).  Group A Streptococcal Disease. Retrieved from: https://www.cdc.gov/groupastrep/diseases-public/strep-throat.html

     

    Goolsby, Jo, M., Grubbs, Laurie. (2014). Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780803645011/

     

    Henningfeld, D. P. (2013). Croup. Magill’S Medical Guide (Online Edition),

     

    Seasonal influenza vaccines in children. (n.d).

     

    Discussion Question 1

    Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain
    .

     

    Does she have discharge or bleeding from her ears?

    I did not ask about this because I had asked about whether the child was tugging at her ears and the Mother stated the child was not showing signs of ear discomfort. Discharge or bleeding is clinically significant because that could lead to a better understanding initially, prior to physical exam, as bleeding discharge from the ears of the purulent type can be a sign of infection. The risk for complications associated with otitis media increases if an acute episode of otitis media persists longer than 2 weeks or if symptoms recur within a 2-to 3-week period (Eaton, 2017).

     

    Any new or recent change in medications?

    Medication histories are important in preventing prescription errors and consequent risks to patients (Fitzgerald, 2009).

    Discussion Question 2

    Based on your performance and the expert feedback in your 
    PHYSICAL EXAM
     collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

     

    I did not have any errors in the physical exam. I did provide a few parts of the exam that were not required such as an SPO2 and a BP.

    Discussion Question 3

    Based on your performance on the 
    PHYSICAL EXAM
    collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text. NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

     

    One key finding was bilateral tympanic erythema and bulging. Looking in the ears with an otoscope was vital to visualizing these findings and diagnosing the patient with acute otitis media.

    Discussion Question 4

    Based on your performance and the expert feedback in your 
    ASSESSMENT
     identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

    I originally felt that the patient’s symptoms of erythema and exudate on the pharynx pointed to strep throat and the otitis media was secondary to a strep infection. The expert stated the fever was the main problem and the other symptoms were related.

    Discussion Question 5

    Based on your performance and the expert feedback in your 
    ASSESSMENT 
    of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

     

    One of my missed differential diagnosis was laryngotracheobronchitis or croup.  This condition is characterized by a “barking” cough and labored breathing or stridor. On history collection and physical examination, I did not get the impression that the patient had any of these symptoms.  However, those affected by “croup” show an inflammation of the larynx, throat, and upper bronchial tubes causing hoarseness, cough, which could easily be experienced by our patient Emma. It occurs most commonly in children aged between 6 months and 3 years and during the late autumn months (Nierengarten, 2015, p. 31). NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever

    References:

    Eaton, D. (2017). Complications of otitis media. Retrieved from https://emedicine.medscape.com/

    article/860323-overview#a3

    Fitzgerald, R. (2009). Medication errors: the importance of an accurate drug history.
    Br J Clin Pharmacol.

    67(6): 671–675.
    doi: 10.1111/j.1365-2125.2009.03424.x

    Nierengarten, M. B. (2015). Diagnosis and management of croup in children. Contemporary Pediatrics,

    32(3), 31–33. Retrieved from https://www.thecampuscommon.com/library/ezproxy/

    ticketdemocs.asp?sch=suo&turl=https://search-ebscohost-com.southuniversity.libproxy.edmc.

    edu/login.aspx?direct=true&db=rzh&AN=107779484&site=eds-live NSG 6020 Emma Ryan iHuman Case study, 2 year old with chief complaint of runny nose, cough, and fever