Contemporary Religions 19270699

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  • Assignment:
  • What are some of the challenges facing major religious traditions in the modern world? As nurses, what are some of the particular issues that you might encounter with patients regarding the intersection of faith and healthcare (see the Science and Ethical Issues section of Chapter 12; you can address one or more of the issues noted in this section)? How might the material covered in this course affect the way in which you respond to these concerns?
  • Select one of the topics from Chapter 12 listed under Modern Influences on the Future of Religion and examine how modern religious traditions are dealing with these contemporary challenges. If you identify with a particular religious tradition, how has your religious tradition responded to the topic you have chosen? Make sure that you support your answer.
  • Example:

Dr. Rooney

There are many challenges facing the major religious traditions including: peer to peer networks, integration of religion and technological advancement (Bauwens, 2003). These challenges stem from the increasing interconnection of religions and cultures as well as the availability of information sharing. Nursing provides opportunity for unique encounters and challenges. The differences in culture and religion may intersect medical decisions on issues such as fertility, ethical termination of life at various stages, organ transplant, stem-cell research, and animal and environmental rights (Molloy, 2014). Working in the ICU, I often encounter challenges in both organ transplant (heart and lung) as well as futility of care and termination of adult life. People draw on their faith to help with decision making in these difficult circumstances. In these cases, it is important for the nurse to recognize and be respectful of potential religious differences. Learning of the different religions throughout this class will enable me to better understand and support decision making. The nurses’ role in facilitation of a healing environment and religious connection is integral, especially for the patient and family brought to the unfamiliar hospital environment. In my workplace we have various private quiet spaces, I direct people to these areas (if they prefer this space) for prayer and meditation as it is outside of the bustle of the ICU. In my 15 years of nursing experience I have found when people are able to connect with their faith, and feel supported by the multidisciplinary team, they are able to make more confident decisions about medical treatment. Though my personal beliefs and connection with God may be different than the people I encounter, this class has given me perspective. I will continue to be respectful of the space needed for prayer and meditation.

I identify as a Roman Catholic Christian. Working in a 32-bed cardiac surgery ICU at a large university hospital brings ethical challenges that may not be seen in other nursing specialties. Throughout my unit, I care for patients who have undergone high risk cardiovascular and thoracic surgeries, received Ventricular Assist Devices, heart and lung transplantation, or ECMO. Many of these patients have successful treatments, but the risks are high and occasionally I am faced with ethical challenges. With regards to advanced medical and surgical care, futile treatment and euthanasia, the Catholic Church has held a historically strong position. Euthanasia is against Catholic teaching, while “[it] is also permitted, with the patient’s consent, to interrupt these means, where the results fall short of expectations. But for such a decision to be made, account will have to be taken of the reasonable wishes of the patient and the patient’s family, as also of the advice of the doctors who are [especially] competent in the matter” (CAN, n.d., para. 8). Therefore, discontinuing treatment or withdrawing mechanical means of life support are not against the teachings of the Catholic Church.

Roman Catholics have strong associations with the sacraments and traditions. The sacrament “Anointing of the Sick” is occasionally brought to a patient for whom I am caring. There have been times when there is a plan to withdraw life support and this sacrament was offered. Families are invited to pray and offer support to the patient for peace and comfort at the time of suffering. This sacrament is not only for those who are actively dying but may also be done when a patient is diagnosed with a terminal illness. The anointing is believed to bring strength and peace to the person being anointed, and though God does not always heal the person physically this sacrament is strongly valued within the faith (Catholic Answers, 2013). A spiritual compass is provided to those who follow a religious path. It is important to be respectful of the differences and support each other in our journey through life.

Angie

References:

Bauwens, M. (2003). Three Challenges for Global Religion in the 21st Century. Religion and Globalization. Retrieved from: http://www.integralworld.net/bauwens.html (Links to an external site.)

Catholic Answers. (2013). Anointing of the Sick. Catholic Answers. Retrieved from: https://www.catholic.com/tract/anointing-of-the-sick (Links to an external site.)

CNA. (n.d.). Vatican Document on Euthanasia. Catholic News Agency. Retrieved from: https://www.catholicnewsagency.com/resources/life-and-family/euthanasia-and-assisted-suicide/vatican-document-on-euthanasia

 
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Content Bingo

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Write 5 sentences about each topic.

1. Value vs Morals

2. Negligence 

3. Critical Thinking

4. Two Bioethical Issues

5.  What are the goals of nursing?

6. Florence Nightingale 

7. What is the Nurse Practice Act?

8. Telehealth 

9. Isabel Hampton Robb

10. Medicare vs. Medicaid

11. Diversity

12. Delegation vs. Assignment 

13. Eye Contact

14. Three styles of communication

15. Three barriers to research in practice 

 
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Content Lesson Presentation 19472921

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 Create a 7-8 slide presentation with speaker notes about a selected disease process and drug class. The presentation should provide content specific information on the selected disease process and drug class for staff or students in a clinical environment. 

 

Follow these steps:

  1. Select a disease process and a drug class used to treat the disease process.
  2. Describe pharmacokinetics and pharmacodynamics of the drug related to the pathophysiology of the disease process.
  3. Describe the product, its intended use, side effects, adverse reactions, and safety issues.
  4. Identify ethnic, cultural, and genetic differences in patients that may affect the safety or efficacy of medications.
  5. How would you monitor the desired affect is achieved?

Be sure to include three to five references.

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,

 
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Content Lesson Presentation

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Create a 7-8 slide presentation with speaker notes about a selected disease process and drug class. The presentation should provide content specific information on the selected disease process and drug class for staff or students in a clinical environment.

Follow these steps:

  1. Select a disease process and a drug class used to treat the disease process.
  2. Describe pharmacokinetics and pharmacodynamics of the drug related to the pathophysiology of the disease process.
  3. Describe the product, its intended use, side effects, adverse reactions, and safety issues.
  4. Identify ethnic, cultural, and genetic differences in patients that may affect the safety or efficacy of medications.
  5. How would you monitor the desired affect is achieved?

Be sure to include three to five references.

 
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Continuous Quality Improvement Cqi Is The Responsibility Of All Nurses And Is Vital When Addressing The Challenges Of The Health Care Industry

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Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.

 
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Contribute To The Plan Of Care For A Post Operative Patient

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How would the LPN contribute to the plan of care for a surgical client? You may choose any surgical procedure, related to pregnant patient or a pediatric patient. Identify three need areas and identify a goal for each and four standard interventions from which you would select. Utilize APA formatting to cite your resources. Be sure to cover the following:

  • Description of the disorder that led to the need for surgery
  • Safety concerns for this age group or stage of development.
  • Ambulation, rest, play, toys, and games for this patient.
  • Fluid and nutritional needs for the patient following surgery.
  • Equipment that will be needed for the patient following surgery.
  • Educational needs of the patient and family.
  • Emotional care, for the child and the care giver
  • Needed health care information under the care of the RN would the LPN need to identify?

     

Spelling, grammar and APA format

 

Description of the disorder that led to the need for surgery

 

Safety concerns for this age group or stage of development.   Ambulation, rest, play, toys, and games for this patient. Fluid and   nutritional needs for the patient following surgery. Equipment that will be   needed for the patient following surgery.

 

Identify health information needed to provide care to the   post-op client.

 
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Controlled Substance Authority With Arnp

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CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

300 words 2 references

 
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Controlled Substances

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This week challenging debate…

I want to take this opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).

Image result for controlled substances act  

The privilege for Nurse Practitioners(NPs) to prescribe controlled substance was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017).  Once licensed as Florida NP, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

 DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

Do you think the ability to prescribe controlled substance benefits the Nurse Practitioners practice? Why or why not?

In Florida all controlled substance prescribed must be reported to E-FORCSE Dispense Guide. By accessing E-FORCSE database you will avoid multiple healthcare providers re filling narcotics not due, or multiple narcotics to the same patient.

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 from https://en.wikipedia.org/wiki/Comprehensive_Drug_Abuse_Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

 
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Controlled Terminology And Standards

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What are the advantages of standardizing coding terminologies? And what is the best way to achieve consistency for information systems?
 

As Dr. John Glaser notes in the “What Is Health Informatics?” media presentation (assigned in Week 1), a group of physicians may use many different terms to describe one patient’s painful experience. This simple example can be extrapolated to guide your thinking about the obstacles that have arisen for information system development because of the varied and complex nature of health care.
 

In this week’s Discussion, you evaluate the interoperability and coding challenges encountered in today’s health care organizations.
 

To prepare:

  • Think      about how controlled terminology and standards facilitate information      sharing, for example, sharing data between an emergency care clinic and a      pharmacy or between a primary care physician’s office and a specialist’s      office.
  • Reflect      on the national health IT agenda as presented in the Learning Resources.
  • Consider      challenges health care providers are facing in light of the national      health IT agenda related to sharing data across information systems and/or      controlled terminology standards. What strategies could a health care      organization use to address interoperability challenges? Conduct      additional research as necessary to determine possible solutions.

By tomorrow Wednesday 09/13/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list below. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Evaluate the challenges that health care organizations may face when sharing data across systems.

2) Using your professional experience and/or information gathered through research, provide at least two specific examples of interoperability challenges.

3) Propose at least two strategies a health care organization might implement to address interoperability challenges.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 13, “Standards and Interoperability

This chapter introduces the definition, standards, and challenges of interoperability. The authors also detail the impact that interoperable systems will likely have on the future of electronic health records (EHRs) in response to the national health IT agenda.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

Trends in Care Delivery Models and Innovation” (pp. 63-66)

This excerpt gives examples of projects that are being used to accelerate informatics implementations in organizations.

Grain, H. (2010). Clinical terminology. Studies in Health Technology and Informatics, 151, 70-83.

This article begins with an historical overview of computer use in the health care industry. Then it takes an in-depth look at the incentives being used to increase the percentage of practice settings that comply with the integration of electronic health records and interoperable technologies.

Hovenga, E. J. (2010). National standards in health informatics. Studies in Health Technology and Informatics, 151, 133-155.

This article provides an in-depth review of the development of national standards. It includes a look at the components of standards and how they affect the interoperability of systems.

Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. H. (2010). Developing data content specifications for the Nationwide Health Information Network Trial Implementations. Journal of the American Medical Informatics Association, 17(1), 6-12.

The authors of this article use the experiences of the Nationwide Health Information Network’s Trial Implementations project to describe the process and challenges of developing content specific standards.

Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice. Health Information Management Journal 39(2), 37-39.

Real-world examples are used in this article to predict how the management of health information will change as standardized terminologies are implemented within practice settings.

American Nurses Association (2006). ANA recognized terminologies and data element sets. 

Retrieved from http://www.nursingworld.org/npii/terminologies.htm 

By navigating through this website, you can see the table that shows the data sets recognized by the American Nurses Association.

Centers for Disease Control and Prevention. (2009). Health data standards.

Retrieved from http://www.cdc.gov/nchs/about/health_data_standards.htm 

This website provides a link to two organizations that focus on health standards and statistics. The first organization that you may choose to view is the National Committee on Vital and Health Statistics, which was established by Congress and advises the Department of Health and Human Services. The second is called the Public Health Data and Standards consortium, a not-for-profit organization that works with a variety of agencies, associations, and organizations.

Logical Observation Identifiers Names and Codes (LOINC®). (2011).

Retrieved from http://loinc.org 

Access this website to gain information on LOINC’s universal coding system for laboratory and clinical observations.

Saba, V. (2011). Clinical Care Classification System.

Retrieved from http://www.sabacare.com/ 

At this website, you can view the framework of the Clinical Care Classification (CCC) coding structure. Use the side tabs to view the features that make this coding terminology widely accepted as a means to document patient care in electronic health care records.

U.S. National Library of Medicine. (2011). Unified Medical Language System® (UMLS®).

Retrieved from http://www.nlm.nih.gov/research/umls 

The Unified Medical Language System uses its three tools, or Knowledge Sources, named Metathesaurus, Semantic Network, and SPECIALIST Lexicon and Lexical Tools to combine many popular standards and terminologies used in the health care industry. This integrated system facilitates interoperability between computer systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: The standardized representation of health information. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16 minutes.

This week’s media presentation introduces the importance of standardized data in interoperable systems.

Optional Resources

Konicek, D. (2010, March 1-4). Foundations of nursing informatics: SNOMED CT: Terminology implications for meaningful use. Session presented at the HIMSS 10 Annual Conference and Exhibition, Georgia World Conference Center, Atlanta, GA.

Retrieved from http://www.himss.org/content/files/proceedings/2010/FNI4.pdf 

ABC Coding Solutions. Retrieved from http://www.alternativelink.com/ali/home/

 
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