Category: Nursing

  • Discussion: Organizational Policies and Practices to Support Healthcare Issues

    Discussion: Organizational Policies and Practices to Support Healthcare Issues

    Discussion: Organizational Policies and Practices to Support Healthcare Issues

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

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

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

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    To Prepare:

    • Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1. NOTE: The national healthcare issue/stressor I addressed in module 1 is “HOSPITAL ACQUIRED PNEUMONIA. So, you are going to use this topic to answer questions related to this discussion.

    • Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined. Discussion: Organizational Policies and Practices to Support Healthcare Issues.

    Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

    Required Readings

    American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only

    Note: Review all, with special attention to “Provision 6” (pp. 23–26) Discussion: Organizational Policies and Practices to Support Healthcare Issues.

    Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html

    Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html Discussion: Organizational Policies and Practices to Support Healthcare Issues

  • NURS 6501 Discussion Week 2 Psoriasis Post and response

    NURS 6501 Discussion Week 2 Psoriasis Post and response

    NURS 6501 Discussion Week 2 Initial Post

    Psoriasis is a chronic, relapsing, proliferative, inflammatory disorder that involves the skin, scalp, and nails and can occur at any age.  Psoriasis affects about 1% to 4% of the population in countries north of the equator.  The onset is generally established by the age of 40.  A family history of psoriasis is common and the genetic mechanisms are complex.  The onset of psoriasis later in life is less familial and more secondary to comorbidities, such as obesity, smoking, hypertension, and diabetes (Huether & McCance) NURS 6501 Discussion Week 2 Psoriasis Post and response.

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    Psoriasis is the prototypical form of psoriasiform dermatitis, a pattern of inflammatory skin disease in which the epidermis is thickened as a result of elongation of rete ridges.  In psoriatic lesions, epidermal thickening reflects excessive epidermopoiesis.  This increase is reflected in shortening of the duration of the keratinocyte cell cycle and doubling of the proliferative cell populations. NURS 6501 Discussion Week 2 Psoriasis Post and response Because of these alterations, lesional skin contains up to 30 times as many keratinocytes per unit area as normal skin (Hammer & McPhee).

    The turnover time for shedding the epidermis is decreased to 3 to 4 days from the normal 14 to 20 days, with many germinative cells and increased transit time through the dermis.  Cell maturation and keratinization are bypassed, and the epidermis thickens and plaques form.  The disease can be mild, moderate, or severe depending on the size, distribution, and inflammation of the lesions.  Psoriasis is marked by remissions and exacerbations (Huether & McCance). NURS 6501 Discussion Week 2 Psoriasis Post and response.

    Inflammatory Bowel Disease

    The prevalence of irritable bowel disease (IBD) is about 1.6 million people in the United States with about 70,000 new cases per year.  The disease is more prevalent among white populations and Ashkenazi Jews.  Risk factors and theories of causation include susceptibility genes, environmental factors, alterations in epithelial cell barrier functions, and an altered immune response to intestinal microflora. NURS 6501 Discussion Week 2 Psoriasis Post and response Environmental factors or infections are thought to alter the barrier functions, and an altered immune response to intestinal microflora (Huether & McPhee).

    There are two forms of chronic inflammatory bowel disease; Crohns disease and ulcerative colitis.  The causes of IBD are unknown.  Genetic risk and environmental factors are recognized as two key elements in the pathogenesis of IBD.  Genetic factors are not the sole contributor to IBD.  Many environmental factors have been found to contribute to the development of Crohns disease, including pathogenic microorganisms, indigenous intestinal microbes, dietary factors, smoking, defective immune responses, and psychosocial factors.  Similar factors may contribute to the pathogenesis of ulcerative colitis, including infections, allergies to dietary components, immune responses to bacteria and self-antigens, and psychosocial factors.  The features common to all forms of IBD are mucosal ulceration and inflammation of the GI tract.  Accumulating evidence suggests that cytokine dysregulation may be a key factor in connecting these conditions (Hammer & McPhee) NURS 6501 Discussion Week 2 Psoriasis Post and response.

    Psoriasis and IBD cluster at all genetic levels of human populations.  They share the same geographic/ethnic, kindred and patient niches.  Psoriasis and crohns disease also coexist in the same patient more often than expected by chance.  The relative risks of psoriasis are significantly increased in both ulcerative colitis and crohns disease patients, and psoriasis patients are at increased risk of developing irritable bowel disorder Vlachos, C., Gaitanis, G., Katsanos, K., Christodoulou, D., Tsianos, E., & Bassukas, I., 2016).

    According to current knowledge, both psoriasis and IBD recognize two pathogenetic moments, the first one involving innate immunity triggered by unknown stimuli and the second one involving the adaptive immunity, due to cytokines released from cells of the innate immune system, mainly dendritic cells.  Cytokines subsequently influence the activity of T cells subtypes as T-helper17 and T-regs, now considered as crucial within the pathogenetic process (Skroza, N., Proietti, I., Pampena, R., LaViola, G., Bernardini, N., Nicolucci, F., & Potenza, C., 2013) NURS 6501 Discussion Week 2 Psoriasis Post and response.

    The inflammatory disease involve thickening of the epidermis in psoriasis, and the mucosa with inflammatory bowel disease.  This thickening or inflammation is followed by sloughing or necrosis of the thickened lesions.  Psoriasis and IBD are strictly related inflammatory diseases, probably sharing immune-pathogenetic mechanisms.  Skin and bowel represent, at the same time, barrier and connection between the inner and the outer sides of the body.  This explains why, at these levels, immune processes play a key role in maintaining homeostasis and in sustaining pathological processes (Skroza, N., et.al.) NURS 6501 Discussion Week 2 Psoriasis Post and response.

     

    Reference

    Huether, S. E., & McCance, K. L. (2017). 
    Understanding pathophysiology 
    (6th ed.). St. Louis, MO: Mosby.

    Hammer, G.D. & McPhee, S.J. (2014). 
    Pathophysiology of disease: An introduction to clinical medicine. 
    New York, NY: McGraw-Hill Medical.

    Skroza, N., Proietti, I., Pampena, R., La Viola, G., Bernardini, N., Nicolucci, F., & … Potenza, C. (2013). Correlations between Psoriasis and Inflammatory Bowel Diseases. 
    Biomed Research International
    , 
    2013
    983902. doi:2013/983902

    Vlachos, C., Gaitanis, G., Katsanos, K., Christodoulou, D., Tsianos, E., & Bassukas, I. (2016). Psoriasis and inflammatory bowel disease: links and risks. 
    Psoriasis : Targets And Therapy, Vol 2016, Iss Issue 1, Pp 73-92 (2016)
    , (Issue 1), 73. NURS 6501 Discussion Week 2 Psoriasis Post and response.

     

    RE: Discussion 1 – Week 2 response # 1

    Thank you for an informational and interesting post. I did not realize that 1.) irritable bowel disease (IBD) was an umbrella term for chron’s and ulcerative colitis and 2.) there were so many similarities between psoriasis and IBD.

    Innate and adaptive immunity seem to play a large role in triggering chronic inflammation in IBD, which is also common in psoriasis (another immune related disease). This leads to similar theraputic strategies in both diseases including steroids, immunomodulators, and monoclonal antibodies (Fiorino & Omodu, 2015) NURS 6501 Discussion Week 2 Psoriasis Post and response.

    Lesuis, Befrits, Nyberg, & van Vollenhoven (2012) report that previous studies have shown women with IBD generally have worse scores on pain and quality of life measurements, while gender relationships remain unclear on psoriasis. They did an observational study on gender and treatment for women and men in relation to immune- mediated chronic inflammatory diseases and found that women, even though they have the same treatment as men, may be undertreated. This study an hopefully aid in the proper treatment of these painful life changing diseases.

    References:

    Fiorino, G., & Omodei, P.D. (2015). Psoriasis and the inflammatory bowel disease: Two sides f the same coin?. 
    Journal of Chron’s Colitis, 
    9(9), 697- 698. DOI: https://doi.org/10.1093/ecco-jcc/jjv110. NURS 6501 Discussion Week 2 Psoriasis Post and response

    Lesuis, N., Befrits, R., Nyberg, F., & van Vollenhaven, R. (2012). Gender and the treatment of immune- mediated chronic inflammatory diseases: rheumatoid arthritis, inflammatory bowel disease and psoriasis: an observational study. 
    BMC Medicine, 
    10(1), 82. DOI: 10.1186/1741-7015-10-82. NURS 6501 Discussion Week 2 Psoriasis Post and response

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

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

    Discussion: Organizational Policies and Practices to Support Healthcare Issues

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

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

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

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    To Prepare:

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

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

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

    Discussion: Organizational Policies and Practices to Support Healthcare Issues

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

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

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

    To Prepare:

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

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

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

  • Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays

    Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays

    Systemic Lupus Erythematosus & Psoriasis

    This week’s discussion will deal with the pathophysisology of Systemic Lupus Erythmatosus (SLE) and Psoriasis. The discussion will entail the compensatory mechanisms, maladaptive and physiological responses of the two disorders.  The age inference with regards to the pathophysiology of both SLE and Psoriasis will be reviewed.

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    Pathophysiology of Systemic Lupus Erythematosus

    Systemic Lupus Erythmatosus originates from autoimmune system and is a multisystem inflammatory disease. During the disease state, there is production of huge varieties of auto antibodies against nucleic acids (single and double stranded DNA), erythrocytes, coagulation proteins, lymphocytes, platelets, and many other self- proteins which causes inflammation, pain, and damage in various parts of the body(Lupus Foundation of America, 2012). These autoimmune reactions are directed against constituents of the cell nucleus that is antinuclear antibodies, particularly DNA, and as a result, the circulating immune complexes containing antibody against DNA are deposited in the basement membranes of capillaries in the kidneys, heart, skin, brain, and joints. Once the complement is activated, inflammation occurs. Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays It is imperative for advanced practice nurses to know that the specific manifestations of SLE depends on type of cell or organs that is involved (Lewis, Heitkemper, Dirksen, Bucher, & Camera, 2011)

    Pathophysiology of Psoriasis

    Psoriasis is a chronic dermatitis and relapsing inflammatory disease involving excessively rapid turnover of epidermal cells.  During the inflammatory cascade of this disorder, there is secretion of multiple inflammatory mediators( interferon, tumor necrosis factor- alpha), and cytokines (interleukin-12, 13, 17) due to complex interactions between macrophages, fibroblasts, dendritic cells, natural killer cells, T helper cells, and regulatory T cells (Huether  &McCance, 2017) Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays.

    Variation in
     
    Physiological Responses

    SLE is extremely variable in its severity, ranging from a relatively mild disorder to a rapidly progressive one affecting multiple body system due to accumulation of circulating immune complexes (Lupus Foundation of America, 2012), whereas psoriasis can be mild, moderate, or severe, depending on the size, distribution, and inflammation of the lesions implicating mostly the dermis and epidermis due to cellular hyper-proliferation, altered keratinocyte differentiation, and expanded dermal vasculature (Huether & McCance, 2017). The most commonly affected tissues by the SLE are the skin and muscle, the lining of the lungs, heart, nervous tissue, and the kidneys whereas psoriasis mostly affects the skin, scalp, and the nails.  Generalized complaints like fever, weight loss, arthralgia, and excessive fatigue may precede an exacerbation of SLE activity, whereas a well-demarcated, thick, silvery, scaly erythematous plaque surrounded by normal skin is the most common clinical manifestation of psoriasis (Lewis et al., 2011). It is very crucial that advanced practice nurses should familiarize themselves with this variation for proper diagnosis and treatment. Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays.

    Patient Factor: Age

    According to Huether and McCance (2017), psoriasis can occur at any age, but the onset is generally established by forty years of age. Any onset of psoriasis at later stage in life is less familial and much secondary to co-morbidities, like obesity, smoking, high blood pressure, and diabetes. With SLE, symptoms and diagnosis occur most often when women are in their childbearing years, between the ages of 15 and 44. Symptoms of lupus will occur before age 18 in 15 percent of the people who are later diagnosed with the disease (Lupus Foundation of America, 2012) Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays.

    Conclusion

    Both SLE and psoriasis are both inflammatory disorders, but psoriasis mostly affect the skin while SLE is multiple system based. Both disorders involve complex interactions to precipitate a pathological responses of the disease state. Age is cited in different research findings as one of the factors that implicate the pathophysiology of both SLE and psoriasis.

     

    References

    Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis,

    MO: Mosby.

    Lewis, S. L., Heitkemper, M.M., Dirksen, S. R., & Bucher, L., & Camera, I. (2011). Medical-

    surgical nursing: Assessment and management of clinical problems (7th ed.). St. Louis,

    Missouri: Mosby. Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays

    Lupus Foundation of America. (2012).What are the risk factors for developing lupus? Retrieved

    from 
    http://www.lupus.org/answers/entry/risks-for-developing-lupus

    Lupus Foundation of America. (2012).What happens in autoimmune diseases like lupus?

    Retrieved from 
    http://www.lupus.org/answers/entry/what-happens-in-autoimmune-diseases-like-lupus

     

     

    NURS 6501

    Week 2, Discussion 2, Initial Post

    Osteoarthritis

    Osteoarthritis (OA) is joint inflammation related to the destruction of cartilage. There can be genetic factors involved in OA, but the primary mechanism of damage in this condition is an excess of wear (Huether & McCance, 2012). The cartilage that lines the joints is worn away, and the bones begin to rub against one another with joint movement causing friction and bone breakdown, which in turn prompts bone growth in the form of osteophytes or bone spurs. There are also some proteolytic actors in play that aid in the degeneration of the cartilage (Vincent, Conrad, Fregly, & Vincent, 2012). Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays.

    Primary treatment of OA is pain control and lifestyle modifications including resting inflamed joints, weight loss if indicated, and range of motion exercises to promote joint capsule health. Treatment for severe cases of OA include surgical procedures to address bone spurs, manage/correct joint deformities, and to replace entire joints when necessary.

    Rheumatoid Arthritis

    Rheumatoid arthritis (RA), while causing similar joint damage to that of OA, is an autoimmune disorder rather than an age-related disorder (Mcphee & Hammer, 2010). Pannus, or granulation tissue forms in response to inflammation of the synovium. Ankylosing, or fixation of the joint in an abnormal position occurs due to destruction of the articular cartilage and subchondral bone. Rheumatoid factor, IgM antibody and neutrophils are the primary autoimmune culprits responsible for the destruction of tissue in RA (Choy, 2012). Treatment consists of control and reduction of  inflammation. Disease modifying anti-rheumatic drugs help decrease joint damage. Anti-inflammatory meds and steroids can help with the pain and inflammation. Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays.

    Patient Factors

    Genetics plays a role in both OA and RA. Continued research is necessary to increase understanding of the genetics impact of both OA (Vincent, Conrad, Fregly, & Vincent, 2012) and RA (Choy, 2012). Advancement of genetic research related to OA and RA could lead to new treatments and even the potential of preventative therapies/treatments.

    References

    Choy, E. (2012). Understanding the dynamics: Pathways involved in the pathogenesis of rheumatoid arthritis.
    Rheumatology, 51
    , v3-v11. doi:10.1093/rheumatology/kes113

    Huether, S., & McCance, K. (2012).
    Understanding Pathophysiology
    (5th ed.). St. Louis, Missouri: Elsevier.

    Mcphee, S. J., & Hammer, G. D. (2010).
    Pathophysiology of disease: An introducion to clinical medicine
    (6th ed.). Boston: McGraw-Hill.

    Vincent, K. R., Conrad, B. P., Fregly, B. J., & Vincent, H. K. (2012). The pathophysiology of osteoarthritis: A mechanical perspective on the knee joint.
    Physical Medicine and Rehabilitation, 4
    (5 0), S3-S9. doi:10.1016/j.pmrj.2012.01.020 Nurs 6501 week 2 discussion – Erythematosus & Psoriasis Essays

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

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

    Week one

    Ethical and spiritual decision making in health care

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

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

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

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

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

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

    Part 3.

    (a) What is ultimate reality?

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

    (b) What is the nature of the universe?

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

    (c) What is a human being?

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

    (d) What is knowledge?

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

    (e) What is your basis of ethics?

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

    (f) What is the purpose of your existence?

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

    References

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

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

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

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

     

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

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

    Week one

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

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

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

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

    What is ultimate reality?

    What is the nature of the universe?

    What is a human being?

    What is knowledge?

    What is your basis of ethics?

    What is the purpose of your existence

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    Remember to support your reflection with the topic study materials.

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

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

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

    RUBRIC

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

    Maximum Points: 
    100.0

    Personal Worldview Inventory

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

     

    Philosophical Concepts and Spirituality

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

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

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

     

    What is prime reality?

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

     

    What is the nature of the world around you?

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

     

    What is a human being?

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

     

    What happens to a person at death?

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

     

    Why is it possible to know anything at all?

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

     

    How do people know what is right or wrong?

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

     

    What is the meaning of human history?

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

    Conclusion

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

     

    Bibliography:

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

     

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

     

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

     

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

    Is relativism and postmodernism the same?

    Week 2

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

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

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

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

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

    Remember to support your responses with the topic study materials.

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

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

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

    RUBRIC

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

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

    Maximum Points: 
    200.0

    Week 3

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

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

    Part 1: Chart 

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

    Part 2: Evaluation

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

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

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

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

     

    Attachments
    PHI-413V-RS-T3ApplyingFourPrinciplesCaseStudy.docx

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

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

    Maximum Points: 
    150.0

    Week 4

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

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

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

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

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

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

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

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

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

    Remember to support your responses with the topic study materials.

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

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

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

    RUBRIC

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

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

    Maximum Points: 
    200.0

    Course Code

    Class Code

    Assignment Title

    Total Points

    PHI-413V

    PHI-413V-O503

    Case Study on Death and Dying

    200.0

    Criteria

    Percentage

    Unsatisfactory (0.00%)

    Less than Satisfactory (65.00%)

    Satisfactory (75.00%)

    Good (85.00%)

    Excellent (100.00%)

    Content

    70.0%

    Suffering and Fallenness of the World

    12.0%

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

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

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

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

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

    Suffering and the Hope of Resurrection

    12.0%

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

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

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

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

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

    Value of Life

    12.0%

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

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

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

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

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

    Euthanasia

    12.0%

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

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

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

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

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

    Morally Justified Options

    12.0%

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

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

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

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

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

    Personal Decision

    10.0%

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

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

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

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

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

    Organization, Effectiveness, and Format

    30.0%

    Thesis Development and Purpose

    7.0%

    Paper lacks any discernible overall purpose or organizing claim.

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

    Thesis is apparent and appropriate to purpose.

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

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

    Argument Logic and Construction

    8.0%

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

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

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

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

    Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    Mechanics of Writing  (includes spelling, punctuation, grammar, language use)

    5.0%

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

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

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

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

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

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

    5.0%

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

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

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

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

    All format elements are correct.

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

    5.0%

    Sources are not documented.

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

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

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

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

    Total Weightage

    100%

    Week 5

    Benchmark – Patient’s Spiritual Needs: Case Analysis

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

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

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

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

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

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

    Remember to support your responses with the topic study materials.

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

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

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

    Benchmark Information

    This benchmark assignment assesses the following programmatic competencies:

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

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

    RUBRIC

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

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

    Maximum Points: 
    200.0

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

  • Mood Disorders PPT

    Mood Disorders PPT

    Intervening with individuals experiencing symptoms of disorders relating to mood can be challenging. It is especially important to be able to identify the symptoms of the correct disorder so that you can work with the individual in the appropriate manner. This assignment will help you to differentiate between different disorders related to mood, and become familiar with intervention techniques. Mood Disorders PPT

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    Choose
     two disorders related to mood.

    Create
     a 2– to 4-slide Microsoft® PowerPoint® presentation to discuss the disorder. Include the following for each case

    Need Introductions wth speaker notes

    Describe treatment strategies and interventions for the individual in both cases case.

    Scenario1

    Bob graduated high school a few years ago with all his friends and then got a job at a local grocery store which according to his parents he was successfully employed at for a year and a half. Bob parents report that all of sudden Bob started behaviors of being late, missing work, staying in his room all day, sleeping a lot more and not even wanting to go hang out with his friends. After several months of these behaviors Bob ended up losing his job and his parents became very worried about him but Bob insisted that he was fine and just wanted to be left alone.  Mood Disorders PPT

    After a few weeks of his parents worrying, it was like Bob became a whole new person who was motivated to get looking for another job, helped his parents out more around the house and stayed out often driving around town and hanging out with his friends. Bob was having fun, he started drinking more, meeting random girls at clubs and getting into fights. One night Bob was hanging out with his friends, Bob started accusing his best friend of stealing his money and began pushing him around. Bob’s friend insisted that he did not take his money which made Bob angry and Bob picked up a vase nearby and smashed it over his friends head Mood Disorders PPT. Bob went to jail and an assessment was done concluding that Bob has bi-polar disorder.

    Scenario 2

    Joe is a thirty four male who is in prison for burglary charges, reckless driving, unlawful use of a deadly weapon, and public nuisance. Joe received these charges when he drove his car into a gun shop window, grabbed a gun and then ran out into the middle of the street stopping traffic where he fell to his knees holding the gun to his throat until the officers arrived and stopped him from pulling the trigger. Joe reports that he did those things because he missed his wife and kid and felt like he did not want to go on without them Mood Disorders PPT. Joe reported that his wife left him for another man and that he felt his temper and drinking may have been the cause. 

    Joe reported that his wife and he were very happy at one time until Joe started to spend more time at work then at home and being in the same routine of work and then home began giving him headaches. Joe and his wife would fight all the time because all Joe wanted to do when he was home was sleep and would not make time for family activities. Joe noticed that he started to be irritated by all the things that his wife did, often found himself angered by her and would end up just wanting to escape. Joe suffers from having depression disorder. Mood Disorders PPT.

  • End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

    End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

    Case Study: Mr. C.

    It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

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    Evaluate the Health History and Medical Information for Mr. C., presented below.

    Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

    Health History and Medical Information

    Health History

    Mr. C., a 32-year-old single male, is seeking the information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months. End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

    Objective Data:

    Height: 68 inches; weight 134.5 kg

    BP: 172/98, HR 88, RR 26

    3+ pitting edema bilateral feet and ankles

    Fasting blood glucose: 146 mg/dL

    Total cholesterol: 250 mg/dL

    Triglycerides: 312 mg/dL

    HDL: 30 mg/dL

    Serum creatinine 1.8 mg/dL

    BUN 32 mg/dl

    Critical Thinking Essay 

    In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

    Describe the clinical manifestations present in Mr. C.

    Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention. End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

    Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems that can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.) End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

    Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

    Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for the prevention of future events, health restoration, and avoidance of deterioration of renal status.

    Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

    You are required to cite a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. End-Stage Renal Disease (ESRD) Critical Thinking Essay Assignment

  • Professional Identity and Stewardship – Part II: Leadership Interview

    Professional Identity and Stewardship – Part II: Leadership Interview

    Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:

    What is your role as a health care team member?

    How do you define professionalism and how does professional responsibility influence your work?

    Do you consider yourself a steward of health care? Why or Why not?

    Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not? Professional Identity and Stewardship – Part II: Leadership Interview

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    In 500-750 words, summarize your interview and share your impressions of the leader’s responses.

    Compare and contrast responses provided by your peer (in Professional Identity and Stewardship – Part I: Peer Interview assignment) with those provided by the leader. Share your impressions of their differences and similarities.

    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. Professional Identity and Stewardship – Part II: Leadership Interview

    This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

     

    Professional Identity and Stewardship

    Professional identity and stewardship are important components in the health care industry. There are many roles within health care, one being a leadership role. The views of a leader are similar to those of a team member, however they differ slightly. This difference can be attributed to the shift in mentality and focus when one takes on the leadership role. Although there are slight differences in ways of thinking, the overall beliefs and views of an individual in a leadership role compared to a peer are very similar. Professional Identity and Stewardship – Part II: Leadership Interview

    Role as a Health Care Team Member

    Leaders are an important part of any organization. In health care the leadership role can vary from one area to another. In the acute care setting Clinical Supervisors are an important leadership role. XXXXXX is a Clinical Supervisor on an acute care floor for pediatric patients. Ms. XXXXX describes her position as a Clinical Supervisor as a leadership role in which she is able to aid with patient care, as well as encourage growth and development of her team (A. XXXX, personal interview, Feb. 21, 2018). A typical night for a clinical supervisor includes aiding staff when needed, creating patient assignments for the next shift, productivity reports and handling any issues that may arise. Ms. XXXX has functioned in this role for a year and was previously a staff nurse and charge relief on the unit she currently works on. “I believe being part of the same unit, now in a leadership role, has given me insight to the needs of my team and unit (A. XXXXX, personal interview, Feb. 21, 2018).” Ms. Linehan states that this leadership role has allowed her to aid staff members in the development of their knowledge and skills as well as create changes on the unit to make it better for patients and staff (A. XXXXX, personal interview, Feb. 21, 2018). Professional Identity and Stewardship – Part II: Leadership Interview

     

     

    Professionalism

               
    Ms. XXXXX described professionalism as a combination of several attributes including knowledge and skills, appearance, attitude, behavior as well as others (A.XXXXX, personal interview, Feb. 21, 2018). Ms. XXXXX states that professionalism is not only being knowledgeable in a certain field but also being punctual, dressed appropriately and considerate of those around you (A. XXXX, personal interview, Feb. 21, 2018). Health care workers interact with individuals from all walks of life, being professional includes accepting and honoring the differences in everyone.

     

    Steward of Health Care

               
    “Being a steward of health care, to me means being open minded to change and encouraging those who I influence to bring change to health care. It means to encourage lifelong learning and maintain a high standard for patient care (A. XXXX, personal interview, Feb. 21, 2018).” Ms. XXXXX states she sees herself as a steward of health care in the sense that she is always continuing to learn and encourage those around her to do the same. She encourages employees who are furthering their education to bring their knowledge and evidence based practice projects to the unit. Ms. XXXX participates in regular continuing education classes and encourages her team members to do the same (A. XXXX, personal interview, Feb. 21, 2018). Professional Identity and Stewardship – Part II: Leadership Interview

     

    Leadership

               
    Ms.XXXXX, personal interview, Feb. 21, 2018).” An important characteristic that leaders possess is authenticity. Ms. Linehan believes that if she can be authentic with her team members it will lead to a better working relationship, creating trust and understanding between her and her team members (A. Linehan, personal interview, Feb. 21, 2018). “I want to be the type of leader whose team members feel comfortable approaching when there is an issue, I believe being authentic is a part of building that relationship and trust (A. XXXXX, personal interview, Feb. 21, 2018).” Ms. XXXXX wants to influence her team members by encouraging them to seek out opportunities to grow and develop their skills and knowledge. Professional Identity and Stewardship – Part II: Leadership Interview

     

    Peer VS Leader

    When comparing the interview answers from someone in a leadership role vs the answers from a peer there are some subtle differences. Ms. XXXXX’s responses, being in a leadership role were more focused on her view of herself as a leader and the type of leader she is. Ms. XXXX responses focus largely on the development of her team and less on patient care. While patient care is still an important part of Ms. XXXXX’s role, in regards to questions about leadership her answers focus on her team. XXXXXX 2, was interviewed as a peer, and her responses are more centered on what she expects out of leadership and focus on patient care (J. XXXXXt, personal interview, Feb. 20, 2018). The responses from Ms. XXXXXX focus on a bigger picture, her team. She focuses on what she can do to better patient care and her team. The expectations Ms. XXXXX had of a leader are similar to the attributes Ms. XXXXX uses to describe herself. The overall beliefs of professionalism and important characteristics of a leader are consistent between the two interviews. Professional Identity and Stewardship – Part II: Leadership Interview

  • GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples – 1

    Professional Identity and Stewardship – Part I: Peer Interview

    Student

    Grand Canyon University: AMP-450V Leadership and Vocation

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    This paper will review an interview that was conducted on a fellow peer that works in a different health discipline than the author who is also enrolled in the same leadership class at Grand Canyon University. A total of four questions were asked and include; what is your role as a health care team member? How do you define professionalism and how does professional responsibility influence your work? Do you consider leaders in your organization stewards of health care? Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Not every person will answer these questions the same so it’s important to review how others respond to these questions. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    Health Care Team Member Role

    T.M. is a registered nurse that works as a case manager at an outpatient Oncology clinic in La Jolla California. The typical patient population consists of patients with brain tumors and metastatic cancers and this is often the last treatment option before hospice. T.M seems to be very passionate about her job in oncology and stated that, “oncology has a very special place in my heart as a health care team member” (T. Macare, personal interview, Feb. 22, 2018).

    “Oncology specialty is the reason why I pursued nursing” (T. Macare, personal interview, Feb. 22, 2018). The author was impressed with the dedication that T.M has for oncology. Due to this sometimes being the last step before hospice for these patients the author deeply admires her love for her position. This can be a very difficult time for these patients and having a compassionate nurse that deeply loves what they do can have a huge impact on them. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    Professionalism

    T.M. stated that, “professionalism pertains to how an individual conducts and presents themselves to others” (T. Macare, personal interview, Feb. 22, 2018). Furthermore, “it pertains to one’s appearance, behavior, and competence” (T. Macare, personal interview, Feb. 22, 2018). “It starts with looking neat, being reliable and getting to work on time, being accountable for their actions, and maintaining an ethical practice” (T. Macare, personal interview, Feb. 22, 2018).

    “As a nurse I have taken a pledge to do no harm, maintain confidentiality, and continue to serve to those in my care” (T. Macare, personal interview, Feb. 22, 2018). The author took a similar pledge and thinks that this pledge should show in the professionalism of all nurses. Professionalism can have different meanings to people but the author agrees with what T.M. has included in what she thinks professionalism is. How a person acts to how they look can impact the way a person views a nurse’s professionalism.

    Stewards of Health Care

    T.M. believes that the leaders in her organization are stewards of health. “They are engaged and committed to their profession and their team members” (T. Macare, personal interview, Feb. 22, 2018). “They advocate for patient and nursing safety, patient and employee satisfaction, and enhancement of collaborative practice for doctors and nurses” (T. Macare, personal interview, Feb. 22, 2018). GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    Leaders can be stewards of health care for many reasons. They can influence staff and patients and are always looking for ways to improve safety as well as improving the personal development of staff. For the profession, the focus will be on refining the roles, creating positive and healthy practice environments, and upgrading regulation and standards to support the future work of the nurse” (Haase-Herrick, 2005, p. 115). “In stewardship of the self, nurse leadership will develop a sound cadre of future nurse leaders, engage in continual learning, and role model balance” (Haase-Herrick, 2005, p. 115). Having leaders that are stewards of health care can foster the development of other great leaders.

    Leadership

    When in a leadership position it’s important that leaders possess certain skills and characteristics. T.M. expressed that skills of a leader are very important. “I cannot emphasize enough the importance of a leader exercising professional advocacy, authenticity, power, and influence when working with colleagues” (T. Macare, personal interview, Feb. 22, 2018). GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples. She also expressed that, “strong leaders need to be authentic in their motives, expressing of feelings, and need to show genuine care towards their team members as well as collaborate not only with their team members but with other disciplines” (T. Macare, personal interview, Feb. 22, 2018).

    T.M. concluded with, “they foster growth and inspire team members to commit to their cause” (T. Macare, personal interview, Feb. 22, 2018), which the author strongly agrees with. Leaders can have an immense impact on their team members as well as other team members that they interact with. They can lead other by the example that they set.

    Conclusion

    Depending on what a person’s role is as a health care team member there will be different answers to these questions. Professionalism and leadership will not be viewed as the same thing by every person. T.M has a strong understanding of what professionalism and leadership is. She’s very passionate about her role as a nurse and feels that she has great leaders that are committed to their team. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

     

    References

    Haase-Herrick, K. (2005). The opportunities of stewardship. Retrieved from https://journals.lww.com/naqjournal/Abstract/2005/04000/The_Opportunities_of_Stewardship.3.aspx

    Macare, T. (2018, February 22). Personal interview.

    American Psychological Association. (2010).
    Publication manual of the American Psychological Association
    (6th ed.). Washington, DC: Author.

     

    GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples – instructions

    Professional Identity and Stewardship – Part I: Peer Interview

    Interview a fellow peer in your class who works in a different health discipline than you. Begin your interview with the following questions:

    What is your role as a health care team member? GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    How do you define professionalism and how does professional responsibility influence your work?

    Do you consider leaders in your organization stewards of health care? Why or Why not?

    Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

    In 500-750 words, summarize your interview and share your impressions of your peer’s responses.

    Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    —–Professional Identity and Stewardship – Part II: Leadership Interview

    Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:

    What is your role as a health care team member?

    How do you define professionalism and how does professional responsibility influence your work?

    Do you consider yourself a steward of health care? Why or Why not?

    Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

    In 500-750 words, summarize your interview and share your impressions of the leader’s responses.

    Compare and contrast responses provided by your peer (in Professional Identity and Stewardship – Part I: Peer Interview assignment) with those provided by the leader. Share your impressions of their differences and similarities.

    Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

     

    GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples – 2

    Peer Leadership Interview  Part 2

    Unknown Student

    Grand Canyon University: AMP 450

     

    Professional Identity and Stewardship

    Professional identity and stewardship are important components in the health care industry. There are many roles within health care, one being a leadership role. The views of a leader are similar to those of a team member, however they differ slightly. This difference can be attributed to the shift in mentality and focus when one takes on the leadership role. Although there are slight differences in ways of thinking, the overall beliefs and views of an individual in a leadership role compared to a peer are very similar. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    Role as a Health Care Team Member

    Leaders are an important part of any organization. In health care the leadership role can vary from one area to another. In the acute care setting Clinical Supervisors are an important leadership role. XXXXXX is a Clinical Supervisor on an acute care floor for pediatric patients. Ms. XXXXX describes her position as a Clinical Supervisor as a leadership role in which she is able to aid with patient care, as well as encourage growth and development of her team (A. XXXX, personal interview, Feb. 21, 2018). A typical night for a clinical supervisor includes aiding staff when needed, creating patient assignments for the next shift, productivity reports and handling any issues that may arise. Ms. XXXX has functioned in this role for a year and was previously a staff nurse and charge relief on the unit she currently works on. “I believe being part of the same unit, now in a leadership role, has given me insight to the needs of my team and unit (A. XXXXX, personal interview, Feb. 21, 2018).” Ms. Linehan states that this leadership role has allowed her to aid staff members in the development of their knowledge and skills as well as create changes on the unit to make it better for patients and staff (A. XXXXX, personal interview, Feb. 21, 2018). GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

     

     

    Professionalism

               
    Ms. XXXXX described professionalism as a combination of several attributes including knowledge and skills, appearance, attitude, behavior as well as others (A.XXXXX, personal interview, Feb. 21, 2018). Ms. XXXXX states that professionalism is not only being knowledgeable in a certain field but also being punctual, dressed appropriately and considerate of those around you (A. XXXX, personal interview, Feb. 21, 2018). Health care workers interact with individuals from all walks of life, being professional includes accepting and honoring the differences in everyone.

     

    Steward of Health Care

               
    “Being a steward of health care, to me means being open minded to change and encouraging those who I influence to bring change to health care. It means to encourage lifelong learning and maintain a high standard for patient care (A. XXXX, personal interview, Feb. 21, 2018).” Ms. XXXXX states she sees herself as a steward of health care in the sense that she is always continuing to learn and encourage those around her to do the same. She encourages employees who are furthering their education to bring their knowledge and evidence based practice projects to the unit. Ms. XXXX participates in regular continuing education classes and encourages her team members to do the same (A. XXXX, personal interview, Feb. 21, 2018). GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

     

    Leadership

               
    Ms.XXXXX, personal interview, Feb. 21, 2018).” An important characteristic that leaders possess is authenticity. Ms. Linehan believes that if she can be authentic with her team members it will lead to a better working relationship, creating trust and understanding between her and her team members (A. Linehan, personal interview, Feb. 21, 2018). “I want to be the type of leader whose team members feel comfortable approaching when there is an issue, I believe being authentic is a part of building that relationship and trust (A. XXXXX, personal interview, Feb. 21, 2018).” Ms. XXXXX wants to influence her team members by encouraging them to seek out opportunities to grow and develop their skills and knowledge. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

     

    Peer VS Leader

    When comparing the interview answers from someone in a leadership role vs the answers from a peer there are some subtle differences. Ms. XXXXX’s responses, being in a leadership role were more focused on her view of herself as a leader and the type of leader she is. Ms. XXXX responses focus largely on the development of her team and less on patient care. While patient care is still an important part of Ms. XXXXX’s role, in regards to questions about leadership her answers focus on her team. XXXXXX 2, was interviewed as a peer, and her responses are more centered on what she expects out of leadership and focus on patient care (J. XXXXXt, personal interview, Feb. 20, 2018). The responses from Ms. XXXXXX focus on a bigger picture, her team. She focuses on what she can do to better patient care and her team. The expectations Ms. XXXXX had of a leader are similar to the attributes Ms. XXXXX uses to describe herself. The overall beliefs of professionalism and important characteristics of a leader are consistent between the two interviews. GCU AMP-450V Professional Identity and Stewardship – Part I: Peer Interview essay examples

    References

    AAAAA, A. (2018, February 21). Personal interview.

    BBBBBB, J. (2018, February 20). Personal interview.

  • Spirituality Reflective Writing Essay

    Spirituality Reflective Writing Essay

    Select a body system and identify one disease process that fascinates you most as a creation of God. Answer the following questions relating to the disease process.

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    1. What aspects of normal anatomy is interesting to you and why?

    2. What factors have caused the damage to the normal anatomy and physiology?

    3. How can we restore the healing process? Spirituality Reflective Writing Essay

    4. What is the role of prayer, influence of religion and culture relating to this disease process?

    5. Conclusion with a call to action or something meaningful to remember

    please use this book

    References:

    Mauk, K. L., & Schmidt, N. K. (2004). Spiritual care in nursing practice. Philadelphia, PA: Lippincott.

    White, E. G. (2011). The Ministry of healing. Guildford, UK: White Crow Books.

    Journal article: Spirituality Reflective Writing Essay