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
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
The field of nursing has changed over time. In a 1000 word paper, discuss nursing practice today by addressing the following:
Prepare this assignment according to the guidelines found in the APA Style Guide,
USE MINIMUM OF THREE REFERENCES. NO PLAGIARISM
Use effective verbal and nonverbal communication when delivering a speech
In this practice exercise, you will explore four styles that effective speakers use when delivering speeches.
A one-page (250-word) paper
Step 1 Research a speech.
Using your course materials and the internet, research a speech that you feel is particularly effective, then analyze each speaker’s style and language strategies.
Step 2 Answer the questions.
In a one-page (250-word) paper, address the following:
The assignment must be well written and typed in an APA format. The paper is 5 pages long with title page and reference page which are not counted in the 5-page requirement. Direct quotes must use text citation.
Include the following in your paper:
1. Background information on the health condition.
a. Scope of the problem—-the population at risk.
b. How many Americans are affected by this health condition?
c. Geographic region the problem is mostly found, if any.
d. Brief explanation of the health condition.
e. How is the health condition treated?
2. Discuss the health disparity of the health condition.
a. Each of the conditions listed is considered to be a health disparity in the US.
b. Research how the condition is a disparity and why.
c. Who is affected?
d. Is there anything being done to address health disparities in this country. –
i. Look up “healthy People 2020”
e. What can nursing do? what is nursing’s role is health disparities?
3. Nursing Education, health promotion and disease prevention.
a. Discuss what you, the nurse, can do to address this aspect of nursing.
Please use at least one article from a nursing journal.
In addition, you may use high quality websites for information, like CDC or ANA, Medscape, etc.
Turn it in report
no plagerism
Bill Tutor4.7 (76)4.8 (1k+)ChatCOPD Case Study
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Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. Submit your answers using APA format, well-written sentences, and detailed explanations. Your analysis must be scientifically sound, necessary, and sufficient.
You must also include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be included as a source for this assignment. Refer to the rubric for more information on how your assignment will be graded.
COPD Case Study
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Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question …
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Can you please convert the information into a APA paper with good detailed explanation
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:
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/
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).
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
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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