Health & Medical

Summarize an article regarding the importance of proper dosage calculation in nursing care. Must have at least 1 in-text citation Reference in APA Format

What are the effect of Covid 19 in the economy.

Topic 6: In-Service Scenario Analysis Directions: In 750-1,000 words, select one of the scenarios below to write an essay that answers the reflection questions. Use a minimum of three scholarly references to support your analysis. Scenario 1: Marcie is a new client and a 22-year-old female who works as a receptionist in a doctor’s office. She has just revealed to you during the intake session that she has recently lost interest in most activities, has been sleeping a great deal yet feels tired all the time, and sometimes wishes she could cease to exist. She mentioned feeling as though she has been “on an emotional roller coaster” during the past year, throughout her on-again/off-again relationship with a 35-year-old married man. The last breakup with him seemed final, and Marcie has felt herself sinking deeper and deeper into depression ever since. When probed further about suicidal ideations, Marcie admitted that she has considered killing herself, although she is uncertain whether or not she would actually do it. Scenario 2: A managed care clinician completed a utilization review and has just denied authorization for you to continue treating a client. You believe that the client could benefit from four additional sessions. At the same time, you understand that the managed care clinician must apply criteria of medical necessity to justify continued treatment, and you are aware that many of your agency’s clients have problems much more severe than your client’s problems. Reflection Questions: 1.      Does the primary diagnosis via the current DSM play a factor in what you would do as an administrator of the facility? 2.      What steps would ensure the safety of the client within a community/mental health care setting? 3.      Would communication be a concern within the agency? How would you, as the administrator address training to ensure privacy of the client? What could be included within the informed consent process to ensure emergency notification for the client? 4.      Make a list of all of the ways that you could try to ensure that the managed care system does not prevent you from giving your client the type and duration of treatment services that he or she needs. 5.      Categorize each of the items from question 4 into two groups reflecting those that would be considered professionally appropriate and ethical, and those that would be considered a violation of professional ethical standards.

Blog 5 – Research Ethics In “Judgment on Willowbrook”, Paul Ramsey asserts that research on children incapable of giving consent is morally justified only if the children can directly benefit from the research. The mentally impaired children at Willowbrook used as subjects in the hepatitis experiments did not directly benefit from those experiments, according to Ramsey, and so it was wrong to use them as test subjects. Ramsey implies that what makes this research unacceptable is the fact that such children are inherently incapable of giving consent. But isn’t the same true of non-human research subjects such as mice, cats, and dogs? They can’t give consent. So, if Ramsey is right, shouldn’t experiments on non-human animals also be morally off-limits? What do you think? Explain your view. In ““Drug Companies and Medicine: What Money Can Buy” (text, pp. 201-206), Marcia Angell argues that if doctors and medical research institutions accept money from drug companies, they are guilty of a conflict of interest. Explain what a conflict of interest is. Use an example to illustrate your answer. Why does Angell claim why accepting money from drug companies is a conflict of interest for doctors and medical research institutions? Explain. Do you agree with Angell? Explain. Carl Cohen, in ‘The Case for the Use of Animals’ – text pp. 220 – 225, says that if you object to animal research you should also object to eating meat. Explain why Cohen says this. Do you agree with Cohen? Explain why or why not.

Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting

Topic: The Developing Adolescent Brain and the Law   At last we know—at least in part—what accounts for some adolescent risk-taking and crazy behaviours. Their brains are still developing. In fact, the development is taking place in a critical part of the brain associated with rational thinking and decision making—the frontal lobes. What’s more, the emotional part of the brain—the limbic system—is particularly active (thanks, in part, to what is often referred to as “raging hormones”), while the thinking, planning, deciding part of the brain has not developed to the point that they have full control over their emotions.   We know this through brain imaging techniques that now allow us to see, in real time, brain activity while people are performing different activities. For instance, research shows that when processing emotional information, the teen’s limbic system is more active than the frontal lobe.   This research has found an interesting application in the legal system. Legislators and advocates are using the research to argue for changes in laws affecting teenagers. For instance, statistics have long shown that teenagers are much more prone to be involved in motor vehicle accidents. Pulling together the research on brain functioning with what we know about peer influence, some provinces have put limits on the number of passengers a teenage driver can have. The reasoning? Due to brain immaturity, teens may be less able to deflect peer pressure to take risks when driving—and the more peers present in the car, the greater the pressure.   Another area in which this research is being used is in laws that allow teenagers charged with serious crimes to be tried as adults. Is this fair, advocates ask, when teenagers still may have the minds of children? For years, psychologists have known that teenagers don’t have the cognitive understanding of adults when it comes to participating in trials. Now there is brain research to back it up. But do you agree?   For this discussion board exercise, we want you to select 1 peer reviewed journal, and 1 supporting scholarly literature to make your case regarding teenagers being tried as an adult or child.  Make sure to be very clear on which way the teenager should be tried in a court of law. Critically analyze the research surrounding this hot topic and use your critical thinking skills to step out of your comfort zone.   As a nurse you will encounter situations where you will be providing care to youth involved with the legal system. You will also be interacting with workers from the prison and young offenders’ system, and police officers, all of whom may have different views from your own. It is therefore critical to consider and reflect on the potential implications these encounters may have on your own values and beliefs.   Be sure to include one or more of the factors below in your discussions. These are examples but feel free to add a perspective or consideration that is not included on the list below.   The dilemma of confidentiality vs duty to report. What are the absolute exceptions? What are the potential implications of withholding information? Is it the nurse’s responsibility to share information disclosed in confidence? Why or why not? What best practice approach should the nurse facilitate? What about personal morals vs ethical values and the potential for moral distress/ moral dilemma? The professional ethical requirements of nurses as per the College of Nurses of Ontario (CNO). Should adolescents be in your care after an incident where charges have been laid, do you think this fact would affect the care you administer? Do you believe socio-economical/ socio-demographic factors (living in rural and remote communities) play a role in these instances? Why or why not? What are some alternative solutions that nurses can advocate for? What are some of the risk factors for incarceration at a young age? How does this factor into your approach/ opinion if at all? Historically individuals have feigned illnesses to escape criminal charges (e.g. DUIs – driving under the influence) and therefore present to the ER as they cannot legally be charged if experiencing a health episode. How do you think you would respond in such situations when caring for the individual? What is the obligation for nursing or any healthcare provider essentially “harboring a criminal” (meaning the obligation for nurses to admit or deny that a specified individual is indeed receiving care within their institution). In reflecting on some of these points, have they impacted your initial thoughts at the outset of this discussion? Share how you feel and what you believe matter?

After thorough research of credible sources from the South University Library and the Internet, please answer the following questions: Why do the Centers for Medicare & Medicaid Services (CMS) believe that prevention of inpatient admissions will improve the quality of care in populations served by hospitals? What specific age group and diagnoses does the CMS monitor for readmissions? Does research tell us that so far prevention of readmissions has improved the quality of care for patients? How has hospital reimbursement been affected by the readmission standard mandated by the CMS? What recommendations (best practices) to decrease hospital readmissions have been suggested by experts in the healthcare field?

Write something about e-medicine, electronic helath records, electronic mecial records, teleheatlh and the importance of e-medicine relating to the current events regarding the pandemic.

Anemia Patient Profile D.G., a 72-year-old male whose wife died six months ago, is brought to the health care provider by his daughter because he is not eating much and has been lethargic and sleeping a lot. He has a history of hyperlipidemia for which he takes niacin/lovastatin (Advicor) 500/20 mg PO daily at bedtime. Subjective Data Has been unusually tired for the past couple of months Is frequently short of breath and sometimes feels like his “ heart is pounding” Has lost weight because his wife always used to cook for him and he doesn’t cook for himself Describes a typical daily meal as coffee and a donut for breakfast, a hot dog and lemonade for lunch, and a jelly sandwich on white bread and coffee for supper. Objective Data Physical Examination: Blood pressure 118/72, pulse 98, temperature 98.2° F, respirations 16 Oxygen saturation 92% on room air Height 5’6”, weight 135 lbs, BMI 21.7 kg/m2 S1 and S2 auscultated and regular Bilateral radial pulses +3 and regular Lungs clear bilaterally Diagnostic Studies RBC 3,300,000/µL Hemoglobin       8.3 g/dL Hematocrit        24% MCV                 73 fL MCH                 23 pg WBC                 9,100/µL Platelets              250,000/µL Iron                    28 mcg/dL Ferritin                14 ng/mL Cobalamin          600 pg/mL Folate                 10 ng/mL   Question: Interpret D.G.’s laboratory results. Question: Based on the laboratory data and assessment findings, the health care provider diagnoses D.G. with iron deficiency anemia. What clinical manifestations of iron deficiency anemia does D.G. have? Question: Explain iron deficiency anemia and identify the probable cause of D.G’s anemia. Question: How is iron deficiency anemia treated? Question: Identify dietary iron sources to include in D.G.’s teaching. Question: What are important points to include when teaching patients taking oral iron supplements? Question: What evaluative parameters could you use to determine whether D.G.’s anemia is resolving?

Identify two health information exchange standards used to ensure interoperability.  Summarize these two standards.  The summary should include name of standards, formatting, how it is used, data shared, how it ensures interoperability, etc.  Each standard is different so the information available will vary. The summary should be a minimum of 1/2-page double-spaced, 12-point font for EACH standard for a total of at least one page. Be sure to report your references.