Read the case study presented at the end of Chapter 17 (Guido, p. 362)
Judy, age 20, was admitted to an inpatient psychiatric facility for acute depression and suicidal ideation. She had gone to the local police station the previous afternoon, stating that she was suicidal. The police transported her to the emergency center, and Judy was admitted on a 24-hour emergency mental health hold. O n admission, Judy was obviously depressed and stated that she was still tormented with thoughts about killing herself. Later that evening, the nurses heard a crash from Judy’s room and, upon investigation, found her sitting on the bed with an overturned chair next to the bed. She had torn her robe, tied the pieces together as a rope, and fell from the chair as she was attempting to tie the homemade rope to the ceiling. Judy was immediately placed on a 15-minute observation protocol. The following morning, the patient was still on observation every 15 minutes. The nurse at that point determined that Judy was more coherent and noted that Judy was disturbed by her appearance as she had not bathed in some days. The nurse unlocked the bathroom door so that Judy could shower. S oon after the bathroom door was unlocked, Judy’s psychiatrist came to speak with her. She remained with Judy for about 45 minutes, left the room, and entered a charting area next
to the nurses’ station. The nurse caring for Judy did not see the psychiatrist leave Judy’s room, nor did the psychiatrist inform the nurse that Judy was now alone in her room. The nurse checked on Judy approximately 15 minutes later. She found Judy hanging by the belt of her bathrobe from the shower rod. Judy was in full cardiac and respiratory arrest, a code was called, and Judy now has severe and permanent anoxic brain injury. Her parents have brought this lawsuit alleging breach of the standard of nursing care.
Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?
Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?
How significant are the hospital policy and procedures in this instance?
How would you decide this case?
Read the case study presented at the end of Chapter 18 (Guido, p. 393)
Gonzales was admitted to a surgical center for a routine colonoscopy during which three polyps were removed. The procedure began at 11:00 a.m. and he was released at 12:30 p.m. The patient began experiencing abdominal pain the following day. He tried to phone the attending physician at 2:00 p.m. and later called the physician’s nurse at 5:00 p.m. Mr. Gonzales told the nurse he was experiencing severe abdominal pain and that he was flushed and felt he had a fever. The nurse told Mr. Gonzales that everyone had gone home for the day, and she advised him to take aspirin for the fever and call back in the morning. Mrs. Gonzales drove her husband to the hospital the following morning at 10:00 a.m. He was placed on antibiotics, which did not resolve the problem, and he had surgery on the fifth day following the original colonoscopy. At that time, it was determined that the patient’s intestine was perforated at the time of the
polyp removal, and Mr. Gonzales now has a permanent colostomy. The patient has now filed a lawsuit against the nurse and physician for malpractice.
Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?
Did the nurse exceed her scope of practice in the advice she gave the patient?
Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?
How would you decide this case? Who, if anyone, is liable in this case?
Read the case study presented at the end of Chapter 20 (Guido, p. 439)
Aburu, 81, with a history of cerebral vascular accidents, was hospitalized as an outpatient for a surgical procedure to incise and drain a skin lesion on his chest. After the procedure, he returned to the long-term care facility with sterile packing in the partially sutured incision site. The packing was to remain for 3 days, then be removed, and the wound covered with a dry dressing. The risk of complications for this type of surgery was considered quite low, and both the nursing home administrator and the attending surgeon saw no reason why the patient could not be adequately cared for in the nursing home immediately after surgery. A pproximately 5 hours after Mr. Aburu returned to the nursing home, blood was observed at the incision site. He was transferred back to the acute care hospital, where he died the following day. E vidence at trial showed that for the 5 hours that Mr. Aburu was at the nursing home, several licensed and unlicensed personnel attended to him. At lunchtime, two aides escorted Mr. Aburu to the dining room; lunch was about 3 hours after his return to the
nursing home. None of the personnel examined his dressing until an aide noticed that he was bleeding though his bed sheets. Shortly after discovering the bleeding, the patient was transferred by ambulance to the hospital. His family has filed a lawsuit for the wrongful death of their father, alleging that the care given to the patient after surgery fell below the acceptable standards of care.
What should the standards of care be for such a patient?
Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?
Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?
How would you decide this case?
Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Create an APA essay with 1200-1500words, complete the following questions using 4 scholarly sources to support your perspective. please an introduction and conclusion needed.
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Learning Style
/in Uncategorized /by developerLearning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:
In a paper (900-950 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:
Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit to turnitin
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Learning Styles 19459867
/in Uncategorized /by developerimportant of VARK to students
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Learning Summary
/in Uncategorized /by developerI am looking for someone to write a 5 pages or more using the rubric below. Please follow instructions as stated. I will inform you on which chapters that need to be completed for the paper. its due on Monday
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Ledership
/in Uncategorized /by developerCompare two leadership theories. Provide an overview of each and discuss the strengths and weakness in relation to nursing practice.
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Legacy Of Nursing History
/in Uncategorized /by developerSelect a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions. Identify the nurse and his/her background and complete the following:
You may use your textbook, readings and the following for background information.
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Legal And Ethical 19392751
/in Uncategorized /by developerRead the case study presented at the end of Chapter 17 (Guido, p. 362)
Judy, age 20, was admitted to an inpatient psychiatric facility for acute depression and suicidal ideation. She had gone to the local police station the previous afternoon, stating that she was suicidal. The police transported her to the emergency center, and Judy was admitted on a 24-hour emergency mental health hold. O n admission, Judy was obviously depressed and stated that she was still tormented with thoughts about killing herself. Later that evening, the nurses heard a crash from Judy’s room and, upon investigation, found her sitting on the bed with an overturned chair next to the bed. She had torn her robe, tied the pieces together as a rope, and fell from the chair as she was attempting to tie the homemade rope to the ceiling. Judy was immediately placed on a 15-minute observation protocol. The following morning, the patient was still on observation every 15 minutes. The nurse at that point determined that Judy was more coherent and noted that Judy was disturbed by her appearance as she had not bathed in some days. The nurse unlocked the bathroom door so that Judy could shower. S oon after the bathroom door was unlocked, Judy’s psychiatrist came to speak with her. She remained with Judy for about 45 minutes, left the room, and entered a charting area next
to the nurses’ station. The nurse caring for Judy did not see the psychiatrist leave Judy’s room, nor did the psychiatrist inform the nurse that Judy was now alone in her room. The nurse checked on Judy approximately 15 minutes later. She found Judy hanging by the belt of her bathrobe from the shower rod. Judy was in full cardiac and respiratory arrest, a code was called, and Judy now has severe and permanent anoxic brain injury. Her parents have brought this lawsuit alleging breach of the standard of nursing care.
Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?
Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?
How significant are the hospital policy and procedures in this instance?
How would you decide this case?
Read the case study presented at the end of Chapter 18 (Guido, p. 393)
Gonzales was admitted to a surgical center for a routine colonoscopy during which three polyps were removed. The procedure began at 11:00 a.m. and he was released at 12:30 p.m. The patient began experiencing abdominal pain the following day. He tried to phone the attending physician at 2:00 p.m. and later called the physician’s nurse at 5:00 p.m. Mr. Gonzales told the nurse he was experiencing severe abdominal pain and that he was flushed and felt he had a fever. The nurse told Mr. Gonzales that everyone had gone home for the day, and she advised him to take aspirin for the fever and call back in the morning. Mrs. Gonzales drove her husband to the hospital the following morning at 10:00 a.m. He was placed on antibiotics, which did not resolve the problem, and he had surgery on the fifth day following the original colonoscopy. At that time, it was determined that the patient’s intestine was perforated at the time of the
polyp removal, and Mr. Gonzales now has a permanent colostomy. The patient has now filed a lawsuit against the nurse and physician for malpractice.
Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?
Did the nurse exceed her scope of practice in the advice she gave the patient?
Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?
How would you decide this case? Who, if anyone, is liable in this case?
Read the case study presented at the end of Chapter 20 (Guido, p. 439)
Aburu, 81, with a history of cerebral vascular accidents, was hospitalized as an outpatient for a surgical procedure to incise and drain a skin lesion on his chest. After the procedure, he returned to the long-term care facility with sterile packing in the partially sutured incision site. The packing was to remain for 3 days, then be removed, and the wound covered with a dry dressing. The risk of complications for this type of surgery was considered quite low, and both the nursing home administrator and the attending surgeon saw no reason why the patient could not be adequately cared for in the nursing home immediately after surgery. A pproximately 5 hours after Mr. Aburu returned to the nursing home, blood was observed at the incision site. He was transferred back to the acute care hospital, where he died the following day. E vidence at trial showed that for the 5 hours that Mr. Aburu was at the nursing home, several licensed and unlicensed personnel attended to him. At lunchtime, two aides escorted Mr. Aburu to the dining room; lunch was about 3 hours after his return to the
nursing home. None of the personnel examined his dressing until an aide noticed that he was bleeding though his bed sheets. Shortly after discovering the bleeding, the patient was transferred by ambulance to the hospital. His family has filed a lawsuit for the wrongful death of their father, alleging that the care given to the patient after surgery fell below the acceptable standards of care.
What should the standards of care be for such a patient?
Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?
Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?
How would you decide this case?
Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Create an APA essay with 1200-1500words, complete the following questions using 4 scholarly sources to support your perspective. please an introduction and conclusion needed.
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Legal And Ethical Considerations For Group And Family Therapy 19324563
/in Uncategorized /by developerLegal and Ethical Considerations for Group and Family Therapy
Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.
Learning Objectives
Students will:
· Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy
· Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy
· Recommend strategies to address legal and ethical considerations for group and family therapy
To prepare:
· Review this week’s Learning Resources and consider the insights they provide on group and family therapy.
Ø Write:
Ø An explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy.
Ø Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy.
Ø Support your rationale with evidence-based literature.
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Legal And Ethical Considerations For Group And Family Versus Individual Therapies
/in Uncategorized /by developerDiscussion: Legal and Ethical Considerations for Group and Family versus Individual Therapies
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Legal And Ethical
/in Uncategorized /by developerCreate your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Assignment:
Professional Development Exercises :
Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.
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Legal Issues In Nursing 19188721
/in Uncategorized /by developerLegal Issues in Nursing: In this assignment, you will write 1- 2 page paper on a legal issue that you have either experienced first hand, that you have been privy to, or that you have invented. Relate the incident, how it could have been prevented, and how it was resolved. You should have at least 2 references. This APA assignment is worth 15 points.
Suggestions:
Whistleblowing
Breach of confidentiality
Clinical judgment
Inappropriate triage
Medication error
Sentinal event
Lapse in communication
Substandard care
Lack of documentation
Fraud
False imprisonment
Assault or battery
Legal Issues in Nursing
15 Points
Quality paper, with thorough content and minimal grammar or spelling errors.
15
Good paper, but a few omissions in content or more than 2 errors in spelling or grammar
14-12
Fair to poor paper, difficult to follow or lacking in pertinent content, or many spelling or grammar errors
11-8
Very poor paper, very late paper, or no paper at all.
7-0
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