Health & Medical

Task 1: Choose from one of the following stages: pregnancy, infancy and childhood, adolescence, adulthood, and old age. List the specific nutrition issues affecting individuals in your selected stage. Task 2: Choose a disease or medical condition that could possibly, or commonly, affect your individual. This could be anything ranging from diabetes to cirrhosis. Using the ABCDs of nutritional assessment, create a case study based on an actual client or patient. You can also make one up. Include the following in your case study: Anthropometrics, relevant biochemical tests, clinical assessment, and dietary intake analysis. Be sure to include a list of common medications that may be used to treat your patient’s condition and identify potential herb/nutrient/drug interactions that may be relevant. Identify your client’s cultural background and give clues as to their socioeconomic status and psychosocial variables. For example, your patient may be a senior living alone on a fixed income or might be living in a nursing facility with reputed staff.

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers. Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored. Include the following in your presentation: Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource. 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 guideline

Using the literature you have gathered, present an argument where you defend your position on what you see as the greatest contributor to the stigmatization of people with mental illness.   This will be your thesis statement for this paper. Support your opinion using all three sources.  This paper requires a title page, an introduction, body paragraphs, and a conclusion.  You must have a reference page for the 3 articles provided.

Instructions From the list below, choose one topic related to financial management in health care organizations. Include a cover page and a list of references at the end of the paper in APA Format.  Paper will be double spaced and be 4-5 pages in 12 point New Times Roman font. TOPICS False Claims Act Physician Self-Referral Act (Stark Law) Anti-kickback Statute Civil Monetary Penalties Law Exclusion Authorities Tax Exemption (Non-profit Hospitals) Anti-trust & Accountable Care Organizations   Deficit Reduction Act The assignment is to be written in clear, concise narrative. All sections in the outline for Assignment #2 are required. Outline:  Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper.  1.    Name of the Law and or laws:   State the official title of the federal and/or state law, the statute and section number.  Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper. 2.  Management’s Financial Responsibilities:   What are the health care organization’s responsibilities under this financial management statute you stated above? Provide a comprehensive discussion of three (3) specific responsibilities under the financial management statute. State specifically after each responsibility  where this responsibility is stated in the federal or state law.  Describe the appropriate behavior and expectation. Include the citations and source of documents describing the organization’s responsibilities.  Consequences for Ethical or Legal Breach: Discuss in general the civil and criminal consequences from the law. Then identify from the news, three (3) specific case examples of health care organizations or health care providers found guilty of a legal or ethical breach relative to the law you have cited in first part of paper. Identify the specific legal and/or ethical breach and the penalties assessed to the health service organizations and/or individuals found guilty of violating the law or ethics [provide citation of law].  At the end of each case, discuss in detail whether you agree or not with the decision and why. Bring in the facts of the case to support your comments. Students should use a minimum of three (3) documented specific examples retrieved from the print media.  HCO Management’s remedial steps to reverse the non-compliance organizations: Describe in detail three (3) specific management actions or remedial steps you would take to ensure the financial management in the health care organization meets or exceeds the federal law or state law relative to the requirements of the law you cited above. Discuss specifically how each of the three management actions specifically meets or exceeds the specific federal or state law you cited. Note: These actions may include specific uses of technology, procedures, human resource training, and other management tools.  However these action steps must be within the control of a manager.  5. Conclusion: Summary your findings above Reference List [APA Format]  The paper must be: Late penalties: See Course Syllabus. Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets.  Double spaced and be 4-5 pages in 12 point New Times Roman font. Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ]  A the end of the paper a list of references in APA Format [not counted as a page]     Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf. Be uploaded to your Assignments Folder by 11:59 p.m. EST on the due date.  The paper is to be posted in Assignment #2 drop box. Must cite to the source for all your facts in the text of your paper in APA format. Example of an in text citation: (Ernst, & Young, 2000 p14). Example of source cited on Reference page: References Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association.  Except where noted, the assignment is written in clear, concise narrative. All sections of Assignment #2 are required.  Grading Rubric for written Assignment #2 is in Assignments area of the class.

Complete the activities of this module using the attached grading rubric as your guide. Provide citations in APA format. Watch these videos (each is 5-6 minutes), then answer the questions below: https://youtu.be/m6wwxh8o0eo https://youtu.be/vlVZKZNXYBA https://youtu.be/O49KmMg671E https://youtu.be/lltW_13Nvps 1) Watch the videos in this module (Mental Health Disparities, Minority Health Disparities, Ethics of Gene Editing; and the Human Genome: Who Do We Think We Are?).  2) Look at the Health Disparities Social Determinants of Health Snapshot and answer the following:      a) Select one of the categories (Economic Stability; Neighborhood and Physical Environment; Education; Food; Community and Social Context; or Health Care System ) and discuss how improvements in that category could decrease the disparity for Mental Health Disparities discussed in that video.      b) Select one of the categories (Economic Stability; Neighborhood and Physical Environment; Education; Food; Community and Social Context; or Health Care System ) and discuss how improvements in that category could  decrease the disparity for Minority Health Disparities discussed in that video. 3) After viewing the Ethics of Gene Editing video, what is the ethic behind using genetic editing in potentially eliminating Huntington’s disease or cystic fibrosis? Does the ends justify the means according to the ethicist? 4) After viewing the Human Genome: Who Do We Think We Are? video, discuss whether or not you have taken a DNA test and what were the surprising outcomes if you did? If you haven’t, is there a reason why you haven’t? 5) What does servant leadership mean to you? What is your experience with different types of leaders in your workplace and can you tell the differences?

3rd paper: LASTLY, In a 3-page paper, written in APA format using proper spelling/grammar, research the topic of menopause and address the following: Explain perimenopause, surgical menopause, stress menopause, and postmenopause. Describe the signs of menopause. Which other life changes (e.g., physical, psychosocial, and cognitive) may influence a women’s experience during menopause? Which women are at the highest risk for osteoporosis? Describe the traditional and alternative therapies for the conditions associated with menopause. Suggest appropriate health, nutrition, and exercise guidelines for middle-aged and older adults. 2nd paper: ANOTHER ONE IS n a 3-page paper, written in APA format using proper spelling/grammar, research the topic of eating disorders and address the following: Compare and contrast anorexia nervosa and bulimia nervosa. Who is more likely to suffer from anorexia nervosa and bulimia nervosa? Why? What are the causes contributing to anorexia nervosa? What are the consequences of eating disorders? How can one diagnose eating disorders? What are the treatment and support options for a person who has eating disorders? 1st paper: i need a research paper about the IRB Explain the primary responsibilities and priorities of the IRB. Identify an organization, such as a research hospital or pharmaceutical company, that involves human research subjects including all of the following at-risk populations: children women minorities cognitively impaired subjects Describe the organization’s specific guidelines/policies regarding conducting research on each of the at-risk, human populations listed above.

Exploratory essays ask questions and gather information that may answer those questions. However, the main point of the exploratory or inquiry essay is not to find definite answers. The main point is to conduct inquiry into a topic, gather information, and share that information with readers. For this essay, you will be exploring at least three different perspectives on your research paper topic. You must explore both the supporting argument and opposing argument, plus a third possible perspective. Be sure to address the audience for each perspective and any assumptions/constraints that apply. You’ll employ aspects of the Rogerian strategy here as this paper attempts to not only explore multiple arguments, but to understand them as well. This paper is not argumentative, it is a roadmap to the nuances and multiple perspectives of your topic. The beauty of this paper is that some of it can be used in your research paper!

The outline of a good assignment will look something like this: Mary is a 17-year-old Jehovah’s Witness. Mary’s family is also Jehovah’s Witness and they are very active in their church. Mary appears to be devout in her belief and claims that her faith is extremely important to her. Mary has even created a local mentoring group for younger Jehovah Witness girls. Recently, Mary was diagnosed with aplastic anemia, a life-threatening illness in which a person’s immune system attacks the person’s bone marrow. In a meeting wit Mary and her parents, you relay the information that Mary will die without blood transfusions. Mary and her parents refused to consent to the life-saving blood transfusions. As a physician, you are aware that you are able to override parent’s wishes about blood transfusions in pediatric patients, but are concerned that Mary is mature enough and may be capable of making an informed choice. You are torn between viewing Mary as a child who you have to protect, and Mary as a young adult who is capable of making choices about her care.  As Mary’s physician, what do you do?   Overall Feedback I think these articles look great. Very well rounded! I think one interesting question to ask about this case is this: is it reasonable to refuse blood transfusions?  In other words, although Mary’s faith says she should not receive transfusions, we might wonder whether that is a rationally defensible claim.  Maybe it is, but it’s a question worth asking.   Second, I think we should ask about the hierarchy of patient priorities. Maybe she understands that she might die, but it’s more important to be faithful to God. Third, I think you might incorporate some discussion of the distinction between respecting a patient’s right to refuse treatment, and, on the other hand, whether we must treat a patient’s request as a command to do something. So it’s one thing to say, “Ok we won’t treat Mary if she doesn’t want it.” But it would be something entirely different if she said, “My faith dictates that you MUST do X,Y, and Z for me.” For instance, female genital mutilation might be an example. Sometimes that practice is connected with religious beliefs.  I wonder if there is a difference when the patient is asking the provider to do something rather than when the patient is refusing treatment.  Does that make sense? Finally, I’ll say that I think given Mary’s situation, she will need regular transfusions, not just a single set.  Likely she will need to come in monthly or more often.  So proposing that she be compelled to do the transfusions is likely not just a one-time thing, but makes her adopt a whole lifestyle. Good work so far!     Assignment Description The purpose of the Position Paper assignment is to give students an opportunity to demonstrate their ability to 1) apply ethical principles and theories to a specific case, 2) analyze the dilemma using an ethical decision-making framework, and 3) articulate a fully justified position about the case.  The final paper should be between 6-8 pages in length, excluding the cover page and references list (using a minimum of 5 academic sources). The paper must address each of the following elements, and each element should be noted in the narrative with proper APA section headers.  Case and Topic Introduction (1 page) This section of the paper must include the case being explored, and clearly identify the ethical dilemma in the and provide enough background information, including definitions, to allow the reader to understand the issues. When constructing the topic introduction, you should assume the reader is not familiar with the topic. All statements of fact (i.e. statements from other authors or empirical evidence) should be clearly supported with relevant information from the scholarly literature. For example, if you state that the use of a particular technology is increasing, you must have a scholarly source supporting that statement. This is also true for statistics, definitions, or other pertinent informati`      on used. Problem Statement and “Road Map”  (1 paragraph) This section forms the basis for the problem statement. Although more than one problem may be identifiable in a given topic, students are encouraged to narrow the problem statement to ONE main dilemma in order to make the analysis manageable within the confines of the assignment. Be sure to identify which of the questions is the primary ethical question. In other words, which question reflects the most significant issue that must be dealt with in order to form an opinion about the dilemma? For example, a main ethical dilemma in a given case could be stated like this: “The main ethical dilemma in this case is whether or not Mrs. Sanders artificial feeding should be continued.” Once the main ethical dilemma is stated, I want each student to include a thesis statement, or a “road map,” of exactly what they plan to argue and on what ground they will argue it on. For example, using the dilemma above, a student could state “In this paper, I will argue that it is unethical to remove artificial nutrition from Mrs. Sanders based on Mrs. Sanders autonomy, her past wishes, and the notion that her surrogates are not adhering to the guidelines of oral advanced directives.” Argument (2-3 pages) This section of the paper will be used to create cogent arguments about the selected topic in direct response to the problem statement identified in the topic introduction.  Essentially, your argument should reflect how particular ethical principles, theories, obligations or duties can be applied to the argument. It is also important to include relevant information from the literature in support of each argument. For example, from the dilemma above, you would want to break down concepts like autonomy and substituted judgment in order to justify your position regarding Mrs. Sanders. This section should be where the majority of your sources are used. Hint: Be sure you are actually arguing for your position instead of simply assuming that it is correct (don’t beg the question). Counter-Arguments (1-2 pages) Counter-arguments are those statements directly challenging the initial argument. Here, it is important to point out the weaknesses of initial arguments and/ or consider the circumstances under which one might abandon or otherwise alter the initial position. All counter-arguments should reflect how a particular theory or principle can be applied to refute original arguments. The use of information from the literature will also serve to strengthen the quality of the counter-arguments, and will help to ensure that a variety of contrasting viewpoints are represented. Counter-arguments in this section should be equally compelling to the initial arguments. This allows a greater degree of certainty that the analysis is unbiased, objective, and fair to a variety of viewpoints. So, for example, a counter argument for the case above could begin with a statement like this: “Critics of this position would likely claim that we ought to discontinue Mrs. Sanders artificial nutrition based on the notion that her care is futile since she will likely never leave the hospital.” Response to Counter-Argument and Conclusion (1-2 pages) This section should communicate a direct response to the counter argument, and prove why the counter claims are insufficient or inappropriate.  It should indicating your initial position is more compelling and why. For example, a student might state “While critics might argue that Mrs. Sanders case futile, based on Trotter’s conception of futility it can be seen that they are mistaken, since artificial nutrition is accomplishing Mrs. Sanders pre-stated goals.” Expectations and Evaluation* Recognizing that ethical narrative reflects a degree of subjectivity and creativity on the part of the writer, written assignments in this course will not be evaluated on individual thoughts or positions. Rather, work will be evaluated on the depth and clarity of thoughts and ideas; presence of all required assignment elements; accurate understanding, interpretation, and application of ethical theories and principles; and narrative organization and writing mechanics. Close attention to details in the following categories will help to ensure successful completion of written assignments in HCE 430: Applied Ethics in Health Care. General Writing Expectations Writing Mechanics: Papers must meet acceptable writing standards for undergraduate-level work, including paragraph construction and sentence structure. For guidance on academic writing, visit the  Learning Commons. Papers must be carefully proof-read prior to submission so as to capture misspellings, grammatical errors, and problems with sentence or paragraph structure. It is often helpful for students to read their own writing out loud in order to capture some of the more obvious errors. It is also often helpful to see the help of a friend or family member who can serve as editor. The Regis University Writing Center includes free services to help students with the writing process. You can make an online appointment with a writing tutor for assistance. General Requirements All courses in the RHCHP School of Nursing require adherence to standards set forth by the Publication Manual of the American Psychological Association, 6th edition, published in 2010. This is an important element of academic writing and students are required to carefully follow APA standards. The APA publi and most other book retailers. Additionally, writing resources including APA style sheets and information about academic writing are linked through the Course Syllabus. Papers that do not substantively comply with APA standards may be returned unread. Assignment Layout and Adherence to APA Standards ·         Papers must not significantly fall below or exceed guidelines for length as outlined in the assignment descriptions. ·         Papers must be formatted in accordance with standards set forth by the APA manual as described above. ·         Assignment submissions should include a cover sheet as well as running headers and paper numbers (placed electronically within the body of the paper), ·         All written work must be free of plagiarism, either intended or unintended. ·         Sources must be properly captured with in-text citations, and each in-text citation must include a corresponding and properly formatted entry in the reference list. ·         As recognized by APA standards, papers are to be constructed using the 12 point Times New Roman font. * Adapted from: Rhodes, T. L. & Finley, A. (2013). Using the VALUE rubrics for improvement of learning and authentic assessment. Washington, DC: Association of American Colleges and Universities.   Revised: Fall 2016 A.E. Hine

Assignment #3: DISABILITY AS A MEANS OF INNOVATION 15 points   For this assignment, investigate the following topic:  Covid-19 and Disability   Background: There is great discussion and distress around the subject of societal responses to Covid-19 as it relates to people with disabilities. Whether it be people with medical disabilities/pre-existing conditions, or people with a mental health, developmental, intellectual, or sensory disabilities, the experience of quarantine, social distancing, and the question of receiving medical or other assistance, are daunting for many people with disabilities and their loved-ones. However, most nondisabled people remain unaware of how the Coronavirus is threatening the lives and life quality of people in the disability community. Your task is to learn about how Covid-19 is affecting people with disabilities and then write a thoughtful summary response using the criteria below.   Required Format ?      Microsoft Word ONLY ?      Responses must be in paragraph format underneath respective questions or sections. ?      1” margins ?      12-point font ?      Double-spaced ?      2-page minimum   Required Content ?      Introduction – 2 points A paragraph giving an overview of what you have researched and plan on presenting in your paper. ?      3 References & Summaries – 6 points Write a paragraph summarizing each online or hard copy reference (3 paragraphs total) and the main points or perspectives made with that reference. Within each paragraph, include the website link to the readings, blogs, and/or online videos you utilized in your inquiry.   ?      Class Connections – 2 points In 1-2 paragraphs, make the connection between 2 of the following fundamental areas and how they relate to this topic:   ?      Ableism ?      Social Model of Disability ?      Accessibility ?      Accommodations ?      Assistive technology ?      Disability rights ?      Respectful language ?      Eugenics     ?      Reflection – 2 points In 1-2 paragraphs reflect on the following prompts: ?      I used to think that… ?      Why did you think that?   ?      Now I think that… ?      Why do you think that now?  ?      What changed in your thinking?     ?     Closing – 2 points In 1 paragraph, explain how disability is a tool or a means of innovation? How has the Covid-19 discussion evolved toward new possibilities as a result of disability representation? Or how has it not evolved toward new possibilities? Explain.   ?     Language – 1 point Throughout your paper, use of person-first language is required (unless you are a person with a disability who prefers identity-first language and informs us of your preference within your paper). Respectful language is required. Inspiration porn is unacceptable. Proper disability-related language etiquette is required.  For help with this, please refer to the” Disability-Related Language in Written Assignments” document in Blackboard.

It should be typed in a Word document and turned into the appropriate dropbox by the assigned due date. This essay should be written in APA format, to include a cover page and reference page. The essay will need to be between 3- 5 pages long not including the cover page and reference pages. It is required to utilize a minimum of 4 evidence-based sources to support your responses. I suggest using the objectives from the rubric as your first level headings in the paper.Choose three of the prompts below and respond to them. 1. JW, a 65-year-old marathon runner, has suffered a fractured hip in a fall. Postoperatively, Mr. Whitlow sustains complications, including myocardial infarction and a pulmonary embolus. He is on bedrest currently. What is the recommended approach to this patient’s care? What should be included? Describe affects all systems of the body affected by the current diagnosis. 2. A 78-year-old African American woman is brought to the emergency department by ambulance. She was found on the floor of her bedroom by her daughter in a confused state, and she could not move her left leg. Diagnosis of a cerebrovascular accident is suspected. When taking the nursing history, for what risk factors would you assess? How is the diagnosis of ischemic stroke is confirmed? What orders would the nurse expect to receive from the physician for acute ischemic stroke and what nursing interventions would accompany? 3. There are several types of depression. Each is categorized by its manifestations and symptoms. What are the types of depression? Describe the pathophysiology of the related clinical manifestations. 4. Discuss Schizophrenia, Bipolar, and Post-Traumatic Stress Disorder. Identify treatment and support resources for the mentally ill and their families in your community and describe 2 controversies related to management of mental illness. 5. A 4-year-old male is brought to the clinic because his parents are concerned, he doesn’t speak much and doesn’t show affection. On physical exam, the physician suspects autism. What confirmatory tests would the nurse expect to be performed? What treatment options are available for this patient? How will this disorder affect growth and development? What will the nurse include in patient/family teaching for this client?