Mr. Parker is an 88-year-old resident of your LTC home with end-stage Alzheimer’s. He is wheelchair bound and spends most of his days sleeping in his wheelchair near a window facing the garden. He needs to be spoon fed but has recently started to refuse to eat. Mr. Parker has three children, one of whom – his only daughter — is very involved in the care of her father. The team approaches the daughter about her father refusing to eat, and feels that his refusal is legitimate. Thus, they propose changing the plan of care to palliation. The daughter absolutely refuses, claiming that “you cannot kill my father, I want everything done to keep him living!”

The director of nursing (DON) for the facility has turned to you, as the executive director, for guidance, asking these questions.

1. Do we know whether the resident is capable to make his own health care decisions?
2. Are there any known wishes from Mr. Parker? What would he want? What are his values?
3. Is his daughter the substitute decision-maker? Can she, in this role, demand treatment and expect that you comply?

Because of the potential legal and reputational liability, the corporate counsel has recommended you respond the DON in writing. Prepare a 4-10 page APA style memorandum, double spaced addressing the DON and daughter’s issues. Cite relevant sources. Be sure to include a cover page, and abstract.

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Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

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 this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Read the article in the required reading “The Medicine Shoppe v. Loretta Lynch, et al.. Pharmacists and prescribing physicians are equally liable” as well as the Pharmacists Code of Ethics at the following link: https://www.pharmacist.com/code-ethics

Discuss the following:

1. Identify and discuss the duties and responsibilities of a pharmacist toward a patient.

2. Provide the details of the assigned case. Based upon your research and assessment of the case, did the pharmacist perform the required duties and uphold patient rights??

3. Is the pharmacy at fault? Why or why not??

4. What impact can a pharmacist’s actions have on patients and community?? Consider the current opioid crisis facing our nation in your answer; cite reliable sources in your discussion.

5. What precautions can be taken to ensure these types of incidents by allied professionals don’t happen to other’s? Should there be more regulations in place?? Support your discussion with reliable sources.

Length 3page paper , using headings to correspond with each question in the assignment.

Assignment Expectations

Conduct additional research to gather sufficient information to support your writing.This should be an opinion piece, but an analysis.

Avoid the use of first person in the paper

Limit response to a maximum 3-5 pages

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1.Describe the external environment, primary tasks, size and technology of an organization that you (or someone you know) have been a member of (now or in the past). As best you can, describe this organization’s overall design and the design of its subunits (i.e., its departments, divisions, etc.) in terms of the “organic” and “mechanistic” concepts. Evaluate the appropriateness of its design in relation to the contingency factors identified above. That is, to what extent does the design “fit” its external environment, primary tasks, size, and technology? If the fit is not very good, how would you re-design the organization differently? How is the design affecting performance?

2.What, in general, would you consider to be the most and least desirable characteristics of the functional, divisional, and matrix approaches to structural differentiation? Why? Which of these structures do you think you would be most comfortable working in, and why?

3.Describe as best you can the organization where you work (or one you have known in the past) in terms of how subunits are differentiated. Does this approach to structure appear to be effective or ineffective? Why? If the organization’s structure has some shortcomings, what are they, and how would you re-structure it?

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Provide a reflection of at least 500 words (or 2 pages double spaced) of how the knowledge, skills, or theories of this course have been applied, or could be applied, in a practical manner to your current work environment. If you are not currently working, share times when you have or could observe these theories and knowledge could be applied to an employment opportunity in your field of study.

Requirements:

Provide a 500 word (or 2 pages double spaced) minimum reflection.

Use of proper APA formatting and citations. If supporting evidence from outside resources is used those must be properly cited.

Share a personal connection that identifies specific knowledge and theories from this course.

Demonstrate a connection to your current work environment. If you are not employed, demonstrate a connection to your desired work environment.

You should NOT, provide an overview of the assignments assigned in the course. The assignment asks that you reflect how the knowledge and skills obtained through meeting course objectives were applied or could be applied in the workplace. 

Course Name: Emerging Threats & Countermeasures

Text Book attached for your reference.

Grading Criteria Rubric attached. (You must follow this)

Remember.. this should be at High Level.

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