As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

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The Constitution & Health Care (20 points possible). For this assignment I want you to research and write a 2 page paper which should include:  A description of what medicine and health care consisted of in the decade the constitution was written 1780’s-1790’s. An argument to include health care as a right to all citizens in these important documents; and a description of how you’d be perceived?  

For this assignment I want you to conduct a little research and write a 2 page paper which should include the following:

• A description of what medicine and health care consisted of in the decade the constitution was written 1770’s-1780’s.
• If you were a contributor to writing the constitution during this time what would be your argument to include health care as a right to all citizens in these important documents?
• If you were a contributor to writing the constitution during this time how do you think you’d be perceived?  More specifically, would you be considered a responsible and ethical individual or something else?

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Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.

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.

NRS-433V-RS-Research-Critique-Guidelines.docx 

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Assignment  Health Care ( A Right or a Privilege ) .. ? 

Using the guidelines presented on pages 194-205 of your text go to the website Procon.org and using the guidelines below discuss the topic of Health Care as a Right or a Privilege.  This should be a 3-4 page paper and I will be looking for primary source citations.

Please use standard margins and set line spacing at 1.5.

Suggested Subheadings:

Background: Express your opinion/position about the issues addressed by this topic. (1-2 paragraphs)

Disclosure: Describe your knowledge about the topic and identify your attitudes, beliefs, values and any bias you may have about the issues associated with the topic. Is your understanding of the issues balanced; can you articulate both sides of the issues? (2-4 paragraphs)

Factual Findings:  What are the facts for and against the issues related to the topic? What factual information did you find to support your position?  Describe at least 2 pieces of factual information that refutes your position or bias.  If there is factual evidence for your position state it here.  If not, are there strong opinions that work in your favor?  If no factual information was presented, identify at least 2 opinions that are used to state a position. (3-4 paragraphs)

Pro-Con Summary: Were there any arguments presented for or against that were new or added to things for you to consider? After reading the Pro-Con arguments have you identified any new information?  Express what you’ve learned and describe how this new knowledge may have influenced your position (1-2 paragraphs)

Summary:  Summarize whether your position has been enhanced or weakened by the arguments presented in favor or against your original position. (2-3 paragraphs)

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For this assignment you’ll have a total of 2 responses. 

PART A

Respond the inquiry below.

2. In the case below identify the consequences of the action taken and decide whether the action represented the greater good.

c. A physician on the staff of an urban medical center is approached by a lawyer from a remote part of the state and asked to testify on behalf of his client, a rural doctor charged with criminal negligence in the care of a patient.  The lawyer admits that his client is guilty of the charge.  He goes on to explain that although the doctor is old and not well versed in the latest medical knowledge, she is nevertheless competent; the negligence she is charged with resulted from the strain of being the only doctor in a large mountain area with a number of tiny towns and a total population of two thousand people.  The lawyer pleads with the medical center physician to testify that the negligent act was proper treatment.  The physician does so.

PART B

Answer ONE of the two inquiries below.

5. Reportedly, at least two companies specialize in buying the body parts of fetuses from abortion clinics and selling them to universities and medical institutes for use in research.  One of these companies reportedly charges $999 for a human brain under eight weeks’ gestation, $50 to $100 for eyes and ears, and $400 for an intact limbless trunk.  Evaluate the morality of (a) abortionists selling fetal body parts to the companies, (b) the companies selling such parts to research institutions, and (c) the use of fetal body parts in research.  In your evaluation discuss the relevant obligations, moral idealls, and consequences.

OR

7.  Several years ago a married couple, faced with the tragic fact that the husband had terminal cancer, made an important decision: His sperm would be frozen so that the wife could conceive their child after his death. Three months after his death she was impregnated with his sperm and subsequently gave birth to a little girl.  The Social Security Administration ruled that the child was not entitled to receive benefits as his heir.  At first thought, you might be inclined to judge this ruling morally insupportable because the ideal of fairness requires that this child be treated as any other heir.  Resist that judgment until you have used your imagination to identify the significant consequences that would likely follow (a) denying the child the status of an heir and (b) granting the child the status of heir. Compare those consequences and make your decision. (Explain your reasoning.)

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