Health & Medical

Mr. and Mrs. R. are the parents of two sons, Terence and Jason. Terence is a 28-year-old man who is married, works for a railroad company, and attends college part-time. Terence suffers from chronic glomerulus nephritis, a fatal kidney disease. He is now being kept alive by frequent dialysis treatments, a procedure that cannot be continued much longer.Jason is 27 years old, and has been living in a state institution for many years. He has an I.Q. of around 35, approximately corresponding to the mental age of a very young child. He is further handicapped by a speech defect, which makes it difficult for him to communicate with those who are not well acquainted with him.Doctors determined that Terence would have to have a kidney transplant in order to survive. The new kidney could come either from a cadaver, if and when one became available, or from a live donor if a compatible donor could be found. Terence’s entire family was tested, including his mother, his father, and a number of other relatives. None of these family members were medically acceptable as live donors due to incompatible blood type or tissue type. As a last resort, Jason was tested and found to be highly compatible.A psychiatrist who examined Jason stated that he believed Terence’s death would have an extremely traumatic effect upon Jason. Terence is Jason’s role model and is vital to Jason’s continued improvement at the hospital and in school.Should Jason be allowed to donate a kidney to his brother Terence, to save his brother’s life?Questions to help guide your analysis:How should the issue of autonomy/informed consent (for Jason) be handled in this case?What are the risks/benefits of the kidney transplant to Jason and to Terence?If Jason does not donate a kidney to Terence, what other organ-donor options are available to Terence ?How does the “doctrine of double effect” apply to this situation?The bioethical dilemmaAn argumentative thesis (your chosen position)Give three reasons supporting your argument, applying philosophical paradigms (e.g. deontology, utilitarianism, virtue ethics, etc.) and bioethical principles (autonomy,nonmalefience, beneficence, and justice).Offer one counterargument to your chosen position, citing support. A counterargument is an opposing position.Give your rebuttal to the counterargument, with support. A rebuttal is a response to the opposing position.

This paper should discuss the impact of physician impairment, how it impacts quality care, standards of practice and how you as a healthcare leader would deal with a situation like this. (2 pages)

As a practice scholar, the interdisciplinary team you are leading develops the below two practice questions in PICOT format to drive practice change.Practice Question 1: Does motivational interviewing during a regularly scheduled well-child visit for children between 5-19 years with a BMI of 30 and above as compared to practice as usual, influence BMI, BP, quality of life, and daily physical activity over 8-10 weeks?•    Identify the PICOT elements.•    What are key search terms identified in the practice question?Conduct a library search using these search terms to locate a research studyaddressing this practice problem and consider the following.•    What is the research-evidence based intervention addressed in the study?•    What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data?•    Is this practice question answerable within 8-10 weeks? Why or why not?Practice Question 2: In the adult critical care population, does a research-based skin care integrity bundle, compared to standard care, influence the incidence of hospital-acquired pressure injuries over an 8-10 week time period?•    Identify the PICOT elements.•    What are key search terms identified in the practice question?Conduct a library search using these search terms to locate a research study addressing this practice problem and consider the following.•    What is the research-evidence based intervention in the study?•    What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data?•    Is this practice question answerable within 8-10 weeks? Why or why not?

Big Problem: On 11 March 2020, the World Health Organization declared coronavirus disease 2019 (COVID-19) a pandemic. The disease, which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has now infected nearly 20 million persons worldwide, with a global mortality rate of 3.7%.Current Problem: However, amid overwhelmed US healthcare systems and fears of contracting COVID-19, routine vaccination rates  declined significantly across all populations in the US, with demand plummeting as much as 95 percent for certain vaccines. These declines are dangerous to public health—the US can no longer delay life-saving vaccines and must address the concerning decline in vaccination rates.Research Question:  How does the healthcare system enable the positive or negative reception of the COVID 19 vaccine among different categories of populations?APA 7 formatting – title page, body and referencesSubheadings:Background : (2  paragraphs with 5-7 sentences in each) – provide in-text citations to support importance of topic.  This paragraph should spell out the BIG PROBLEM, discrepancy and Current problem.Literature review:  A minimum of 3 paragraphs providing a literature review on three (3) academic articles related to the problem, the vaccine, or providing a similar research project.Aim/Purpose:  One sentence that explains the Aim/purpose of the project.Research Question:  State the research question (Don’t forget the question mark?)Methods:  Design:  State the design and why it was chosen (appropriate to cite a textbook here).Sample and setting:  What sampling technique was used, where was the sampling done?  This can be found in the lectures.Variables of interest:  Which variables did you focus on and why? Proposed analysis:  Discuss in a paragraph or two what kind of analysis would be appropriate for you to get the answers you want.  (Citing the textbook is appropriate here).Importance of research in nursing and what would your project contribute to nursing knowledge related to COVID 19 and/or the vaccine? My takeaway experience from this Nursing Research class:  What was the most significant thing I learned this semester about myself, about writing and about nursing research.

NUR102 Culture & Ethnicity Project:It is important that the healthcare team, particularly RNs, individualize treatment and care for clients.  Culture, ethnicity, and spirituality all impact the way the client views health and illness, as well as their ability to cope and adapt with disease.  To deliver holistic and professional care, RNs must encompass the client’s beliefs, desires, and directives. The goals of this assignment are to become more knowledgeable regarding people of different cultures, ethnicities, and beliefs while practicing the roles of the RN (teacher, researcher). This is a 2-part project that will include a 10-15 min PowerPoint presentation for classmates, as well as a scholarly paper. Students will create a PPT presentation in preparation to write a paper. The presentation will be worth 15 points and the paper 25 points for a total of 40 points for the total assignment (see Canvas for Rubrics). This assignment will be factored as part of the 95% of the grade. Please review the prompt below as well as the rubric to understand how you will be graded. The entire group must participate in the group presentation to earn points.Presentation & Paper Should Include:Ethnicity vs. culture for the assigned groupCustoms: concepts of family, gender norms, death and birth rituals/beliefs, ideas regarding childrearing, food anddietarypreferences/restrictions, educational beliefs, religion/spirituality/prayer?Describe 2 spiritual or religious beliefs common amongst the cultural or ethnic groupBeliefs regarding Elderly and AgingProfessionalism and Nursing implications of caring within the culture – What should the RN caring for the client know to deliver holistic care? How does a nurse present herself/himself as a professional? Whatdoes being a professional mean?Common non-verbal communication (eye contact, touching)Health Beliefs /DisbeliefsBeliefs about painLoss & grievingPossible Ethnic Groups:Native Americans                Asians or Pacific Islanders   Middle Eastern/Arabic                African Americans           Hispanic or Latinos                Caucasians/Western Europeans (Austria, France, Germany, Switzerland)Northern Europeans (Ireland, Denmark, Norway, Sweden, UK)PPT Guidelines:1.   Oral presentation should be 10 – 12 minutes in length, should be clear, concise, and practiced. Do not give entire presentation reading word for word from the slides or your notecards. It is an expectation that students will have a working knowledge of the assigned group to educate others.2.    Include at least 7-10 slides (no more than 15) not including Title & Reference slides (these slides are a given and must be included).3.    Must be visually appealing and include graphics and images in addition to typeface.4.    Reference page in proper APA format (please review the resources on the ClassPath or Purdue Owl. Do not forget to cite the visuals as needed. Info Commons Librarians can help with this too as well as the Writing Center.

Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

Reading: https://www.kff.org/medicare/issue-brief/the-facts-on-medicare-spending-and-financing/Based on the article:In your own words what are 2-3 factors resulting in the growth rate of Medicare per capita spending shrinking from 2010-2018 vs. 2000-2010?Evaluate the Figure 4 & Figure 5 graphs: ‘Actual and Projected Annual Growth Rates in Medicare and Private Health Insurance Spending, 1990-2028 and Actual and Projected Average Annual Growth in Medicare Beneficiary Costs for Part A, Part B and Part D, 1990-2028’. Based on the graphs, bullet out what you think are the 2-3 key takeawaysWhen the article states for example that 72% of Medical Part B is financed through ‘general revenue’ — what is meant by ‘general revenue’?What is the Medicare Hospital Insurance Trust Fund? Briefly summarize why the actuaries have projected that the Part A Trust Fund will be depleted by 2026

What technology do you find most beneficial to use in your work or school setting? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.two scholarly articles

Wk 4 DiscussionAre there professional barriers to being involved with the legislative process, such as retaliation from institutions or individuals who do not share your same viewpoints? What steps would you take to ensure you can represent the advanced registered nurse as a leader and patient advocate under these types of circumstances? (137 words)Chapter 14 in the textbook, Leadership in Nursing Practice: Changing the Landscape of Health Care, discusses the nursing profession’s lack of representation in health care policymaking, even though nurses currently represent the largest profession within the health care industry. The text suggests that this may be related to gender inequality, with women making up a large percentage of the nursing profession. Do you see any correlation to this argument? (138 words)Textbook: Porter-O Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284146530

Reflection and Self-Care Log (and Plan)Describe individual goals and develop a plan for self-care. Set measurable goals and reflect progress each week. Entries need to show reflection that includes a discussion of current learning, including meeting specific course objectives.  Some specific entries required as per course schedule.