The field of healthcare has long subscribed to a set of ethical statements developed primarily for the benefit of the patient. As physicians and other healthcare providers enter this profession, it must be recognized that their responsibility is to patients first and foremost, and then to society, to other health professionals, and to self. In addition to adhering to strict ethical standards in patient care delivery, healthcare providers and organizations must also be mindful of a number of legal and regulatory issues.

esearch ethics and law in patient care. Select one ethical and one legal issue in patient care. Write a paper including the following:

* Description of each issue
* Applicable laws or ethical principles
* Impact on stakeholders

two page paper, one inch margins. DO NOT USE QUOTES. 300 words per page
Customer is requesting that (Writergrrl101) completes this order.

Prepare a 700- to 1,050-word paper about training and education in health care.
Include the following:

? Explain why training and education are vital in health care.
? Explain the importance of measuring competencies.
? Describe the process for tracking and evaluating training effectiveness.

Because of the demographic trend, it is reasonable to expect that clinicians will care for a growing number of elderly persons with challenging medical and psychosocial problems. these problems in turn may lead to daunting ethical issues and possibly dilemmas. the controversy of healthcare rationing, while has been in existence for and extended period of time, have gained increased public attention with the advent of Obama Care and articles on "death panels".

A) What is the relationship between natural death and natural life span?
should we consider natural life span to be identical to the maximum life span?
is age base rationing, like slavery, a kind of discrimination?
in what ways is age discrimination like or unlike race discrimination?
what is a feasible possible alternative?

1 reference from peer review journal.
3 pages, APA format
There are faxes for this order.

Instructions for Completion of Nursing Ethical Issues Assignment:

Format
1. The body of the paper will be 5-7 pages in length (excluding cover page and reference page).

2. The paper should be neatly typed or word-processed, double-spaced, with 10-12 point font.

3. The paper must include reference citations in the body of the paper and a reference page at the end. Use APA (American Psychiatric Association) format for all citations and references.

4. Use a minimum of five (5) references to aid your discussion of the ethical dilemma. References may include articles from nursing or other professional journals or books, internet sources such as professional websites.
References to Principles of Nursing Ethics and Code of Ethics for Nurses must be cited appropriately and included in reference page. Only one reference from an internet source. A minimum of 2 references should come from a professional nursing journal. Sources cited as references must be current (no older than 5 years). Note: You may NOT use NURS 1128 textbooks as references for this paper.

5. Copies of all references must be attached and submitted with the paper.


Ethical Decision Making Process
1. Select and briefly describe a client situation or health care issue that illustrates an ethical dilemma in today's nursing practice.

2. DESCRIBE the ethical dilemma:
a. Identify both sides of the ethical dilemma.
b. What are the values involved with the dilemma?
c. Identify the specific ethical principles involved. (see "Principles of Nursing Ethics")
d. Identify the ethical responsibilities of the nurse concerning the dilemma. (see "Code of Ethics for Nurses")
e. Briefly describe alternative solutions to the ethical dilemma.

3. Identify your personal moral stand and your own decision regarding the dilemma and give an example of how your personal experience, values, beliefs, or attitudes influenced your decision.

Critical Thinking for Nursing Judgment
1. Describe how your nursing knowledge base was used to reach a decision.

2. Identify one of the attitudes for critical thinking and describe how it affected the decision you made.
(see "Components of Critical Thinking")

3. Identify one of the critical thinking intellectual standards and describe how you used it in writing the paper.
(see "Components of Critical Thinking")

Ethics terminology to include

equality/justice

The principle or idea that people should be treated equally. In nursing, it relates to fair, equitable, and appropriate treatment for all clients.

Beneficence

The principle that health care should be good, or beneficial. It also requires nurses to advocate for, protect, and prevent harm to clients.

commitment/trust

The idea of a professional commitment to care for a patient and uphold professional standards of care. In health care, this is often an unspoken matter of trust between client and nurse.


confidentiality

The principle of holding certain matters private or secret. In law, lawyers, clergy, doctors, and others cannot be required to divulge private or confidential matters. The concept is being extended to nursing and other fields as well.


consequentialism

A principle concerned with the end result or consequences. In health care, it implies acceptance of responsibility for the consequences to the patient of one's nursing care activities.


duty/veracity/fidelity

The principle of abiding by a system of rules or duty. It refers to the nurses duty to tell the truth and the clients right to know about their diagnosis, treatment, prognosis, etc. It also addresses the nurses duty to be faithful and loyal to the client.

(3) Code of Ethics for Nurses


1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.


2. The nurses primary commitment is to the patient, whether an individual, family, group, or community.


3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.


4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurses obligation to provide optimum patient care.


5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.


6. The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.


7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.


8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.


9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, maintaining the integrity of the profession and its practice, and for shaping social policy

Read the attached Case Presentation scenario. Based on this scenario, write an essay (suggested length of 8??"10 pages) in which you address the following:
A. In an introductory paragraph, briefly describe the major topic areas you will be discussing in the paper.
B. Justify the importance of ethical theory to nursing.
1. Provide one example for each justification.
C. Relate the principle of confidentiality to the concept of reasonable limits.
1. Explain the elements of the principle of confidentiality.
2. Summarize the elements of the concept of reasonable limits.
3. Provide a rationale for breaking confidentiality.
4. Based on reasonable limits, justify keeping or breaking confidentiality.
D. Identify how to resolve conflict between two or more ethical principles.
1. Summarize one ethical principle that would be in conflict if confidentiality were broken in the given case.
2. Explain an appropriate ethical theory that could support the decision to keep or to break confidentiality.
E. Discuss the influence of culture on values.
1. Compare and contrast the cultural values related to confidentiality for the Z family and for the providers (nurse and physician).
2. Propose two nursing interventions that could help reduce or resolve the ethical conflict of keeping or breaking confidentiality.
F. Identify one ethical decision-making model used by advanced practice nurses in the delivery of healthcare.
1. Describe the steps in your selected ethical decision-making model.
2. Apply your selected decision-making model to the given case to determine a decision for resolving the confidentiality conflict.
G. Cite at least 10 professional, scholarly sources in your paper.

CASE PRESENTATION

Background information:

Mr. Z is a visiting professor of biophysics at a large university medical center. The Z family came to the United States two years ago and will be in this country for five years. Family members include the doctor; his wife, Mrs. Z; their two children, who are four and seven years old; and Mr. Zs mother.

The family has adopted the traditions of a prominent culture in their country of origin, where the husband is conventionally the primary decision maker and the husbands mother is in charge of the household, determining how it is organized. Mrs. Z accepts her mother-in-laws decisions related to the household and child-rearing practices.

Ethical situation:

Mrs. Z discovers a lump in her right breast. She tells her mother-in-law, who then shares the information with her son, Mr. Z. Mrs. Z, her husband, and her mother-in-law go together to a female physician, Dr. F.

Mrs. Z is examined without her family in the room. This is acceptable to her culture, since only females are present. She has a mammogram. She privately tells the physician and attending nurse that she does not want her husband or mother-in-law to know the outcomes of the examination and test.

She is given another appointment after the results of the mammogram are available. Dr. F and the nurse explain that she needs a biopsy. The mammogram showed a suspicious area, and a biopsy would help Dr. F establish a diagnosis. Mrs. Z chooses to have a biopsy without consulting anyone in her family. She again states she does not want her family to know more about her situation.

The culture is generally family members would go with the person receiving the care but since Mrs. Z is being seen by a female physician, he would not need to be in the room.

When Mrs. Z comes into the waiting room, her family asks her questions about what was done. She tells them that nothing was done, that the appointment was just a follow-up. Two weeks later, Dr. F calls Mrs. Z to tell her that the biopsy was positive and that Mrs. Z needs additional treatment. Mrs. Z does not tell her family. She is afraid of having chemotherapy, a mastectomy, or other treatment.

When Mr. Z sees the medical bills, he questions his wife about the procedures. She continues to say nothing is wrong but appears unhappy. The nurse calls Mrs. Z to see if she will come into the office so treatment options can be discussed. Mrs. Z states that she will not seek additional treatment and does not want any information shared with her family.

Her husband is concerned. He talks with one of his colleagues, Dr. J, who is a medical doctor, and asks Dr. J to find out what is happening with Mrs. Z. Dr. J calls the office and asks the nurse to provide him with electronic access to Mrs. Zs records. The nurse states she will talk with Dr. F about his request.

Dr. F and the nurse discuss the situation related to patient confidentiality. They use a decision-making process and review the limits of confidentiality and the good or harm in respecting Mrs. Zs request not to share information. They base their decision making on their commitment to professional standards and their desire to ensure that Mrs. Z receives the best care possible.

Critique 2 or more sections of company's code of ethics. Are those sections of the code working well or should be revised? Be specific in your recommendations. Also discuss ways you could "incentivize" the code.
here's code of ethics for hospital:

OUR PRINCPLES OF ETHICAL CONDUCT INCLUDE:
LEGAL & ETHICAL REQUIREMENTS
???? Compliance with applicable laws, rules and regulations governing Lenox Hill Hospital and
its Affiliates.
???? Adherence to high ethical standards and use of good judgment.
PATIENT RELATIONS
???? Provision of patient care that is medically necessary and appropriate in a respectful and
dignified manner, without regard to race, color, creed, sex, ethnic origin, age, disability,
sexual orientation, source of payment, or other classification prohibited by law.
???? Recognition of the patients right to make informed decisions about medical treatment and
advanced directives and respect for patient choice.
???? Responsibility to protect patient privacy and confidentiality.
???? Compliance with laws and regulations relating to the provision of emergency care to patients.
PHYSICIAN AND PROVIDER RELATIONSHIPS
???? Acceptance of patient referrals and referrals of patients without regard to the direct or
indirect payment or receipt of remuneration, based on each patients medical need and the
providers ability to render the service.
???? Adherence to legal requirements of contractual arrangements or joint ventures with
physicians .
???? Proper supervision of allied health care professionals and residents and other house staff.
ii
MANAGED CARE RELATIONSHIPS
???? Avoidance of improper financial incentives under managed care contracts that would result
in underutilization of medically necessary services.
RECORD KEEPING
???? Truthful, accurate, and legible completion of medical records, billing records, business
records and regulatory and financial reports.
???? Retention, storage and disposal of patient and business records and information in
accordance with legal and business requirements.
PRIVACY AND CONFIDENTIAL INFORMATION
???? Protection and safeguarding of information created in the conduct of Lenox Hill Hospital and
its affiliates business including patient information, staff data, financial data, research data,
strategic plans, statistical information, purchasing agreements and contracts.
???? Protecting and enhancing the rights of patients by providing them access to their information
and controlling the inappropriate use of that information pursuant to the Health Insurance
Portability and Accountability Act of 1996 (HIPAA).
BILLING FOR SERVICES
???? Accurate coding and billing for medical services rendered in accordance with legal
requirements and agreements with third party payors.
???? Compliance with applicable legal, regulatory and program requirements in the preparation
and submission of claims for reimbursement and reports concerning the costs of the hospital
and its affiliates operations.
???? Avoidance of improper waivers and write-offs of patient costs.
BUSINESS PRACTICES
???? Selection of supplies, vendors, contractors and consultants based upon fair, competitive
practices and objective factors including quality, price, service and delivery.
???? Avoidance of transactions that excessively benefit private individuals in contravention of
laws and regulations applicable to tax-exempt organizations.
???? Adherence to Lenox Hill Hospital policies on solicitation and acceptance of charitable
contributions.
???? Compliance with laws respecting the use of intellectual property.
INTERNAL CONTROLS
???? Safeguarding of proper internal financial controls in compliance with established accounting
control standards and procedures.
???? Maintain the integrity of the Hospitals financial statements and its financial reporting
process.
iii
CONFLICTS OF INTEREST
???? Avoidance of situations or conduct that may involve a conflict between personal interests and
the interests of Lenox Hill Hospital and its Affiliates.
CLINICAL RESEARCH
???? Observance of laws and regulations relating to reporting, use of grant and private research
funds, audits, informed consent and reimbursement in clinical research.
???? Compliance with IRB policies, procedures and directives.
???? Integrity in the research process, avoidance of conflicts of interest, improper inducements,
and other forms of scientific misconduct.
???? Protection of the privacy of health information of research subjects.
???? Conduct of research in compliance with approved protocols.
WORKPLACE PRACTICES
???? Fair and respectful treatment of employees, staff and co-workers.
???? Prohibiting discrimination based on race, color, religion, gender, national origin, age,
citizenship status, disability or sexual orientation and prohibiting sexual harassment.
???? Compliance with environmental laws and regulations including the proper storage, handling
and disposal of hazardous material and infectious waste.
???? Proper handling and dispensation of controlled substances in accordance with applicable law.
???? Avoidance of the use of Lenox Hill Hospital and its Affiliates resources to influence the
political process.
MARKETING AND ADVERTISING
???? Truthful and accurate marketing and advertising of medical services for educating the public,
reporting to the community and increasing awareness of the Hospitals mission of the
Hospital and its Affiliates.
???? Compliance with rules applicable to marketing to Medicare and Medicaid beneficiaries.
HOW TO USE THE COMPLIANCE PROGRAM
All employees and staff have a part to play in ensuring that the business of the Hospital and its
affiliates is conducted legally and ethically. All employees and staff are responsible for
performing their assigned duties in accordance with the principles of ethical and legal conduct
and are obligated to report suspected violations of laws, regulations or the Code of Ethics to their
immediate supervisors or the Compliance Officer. The Compliance Officer is responsible for
coordinating the dissemination of information on new laws or regulations that govern the
activities of the Hospital and its affiliates or information related to changes in existing laws or
regulations. All communications will reinforce the employees responsibility to comply with
applicable laws and policies and to report a suspected violation to the Compliance Office.
iv
The Compliance Office may be reached 24 hours a day, seven days a week by calling: (212)
434 - 2126. The Hospital and its Affiliates prohibit any retaliation against an employee who, in
good faith, reports a question or concern about a compliance matter.

Assignment: Writing- Ethics and Leadership Analysis and Application
Read the following course document on Ethics and Leadership Analysis and Application and write about: Kathy Lee Gifford and unethical practices of supplier factories

Write a 10-12 page paper that addresses the following:
1. What are the relevant facts of the case? What facts are not known? Do you know enough to draw a conclusion? What, if any, additional information would you seek?
2. Is this issue about more than what is legal or what is most efficient? If so, how?
3. What was the role of company leadership in this case? How did they impact the case in both the positive and negative way?
4. What individuals and groups have an important stake in the outcome? Are some concerns more important than others? Why do these groups take precedence? Do you agree with this precedence?
5. What are the options for acting? Evaluate the options by asking the following questions:
? Which option will produce the most good and do the least harm? (The Utilitarian Approach)
? Which option best respects the rights of all who have a stake? (The Rights Approach)
? Which option treats people equally or proportionately? (The Justice Approach)
? Which option best serves the community as a whole, not just some members? (The Common Good Approach)
? Which option leads you to act as the sort of person you want to be? (The Virtue Approach)
6. Could this decision or situation be more damaging to someone or to some group? What are the cross cultural dimensions involved? Does this decision involve a choice between a good and bad alternative, or perhaps between two "goods" or between two "bads"? How can all the relevant persons and groups be consulted?
7. Considering all these approaches, which option best addresses the situation?
8. How can the action decision be implemented with the greatest care and attention to the concerns of all stakeholders? Be specific about the cross-cultural dimensions to your answer. Discuss how all stakeholders might be persuaded to this course of action, pointing out cultural issues, as appropriate. In your paper, show how you would present the relevant information as it would be communicated to various stakeholders at a level of detail and sophistication needed to be persuasive.
9. What can the stakeholders learn from this specific situation? What have you learned from this case that you can apply immediately in your own career or life experience?

Read this framework for ethical decision making.
A Framework for Thinking Ethically
This document is designed as an introduction to thinking ethically. We all have an image of our better selves-of how we are when we act ethically or are "at our best." We probably also have an image of what an ethical community, an ethical business, an ethical government, or an ethical society should be. Ethics really has to do with all these levels-acting ethically as individuals, creating ethical organizations and governments, and making our society as a whole ethical in the way it treats everyone.
What is Ethics?
Simply stated, ethics refers to standards of behavior that tell us how human beings ought to act in the many situations in which they find themselves-as friends, parents, children, citizens, businesspeople, teachers, professionals, and so on.
It is helpful to identify what ethics is not:
? Ethics is not the same as feelings. Feelings provide important information for our ethical choices. Some people have highly developed habits that make them feel bad when they do something wrong, but many people feel good even though they are doing something wrong. And often our feelings will tell us it is uncomfortable to do the right thing if it is hard.
? Ethics is not religion. Many people are not religious, but ethics applies to everyone. Most religions do advocate high ethical standards but sometimes do not address all the types of problems we face.
? Ethics is not following the law. A good system of law does incorporate many ethical standards, but law can deviate from what is ethical. Law can become ethically corrupt, as some totalitarian regimes have made it. Law can be a function of power alone and designed to serve the interests of narrow groups. Law may have a difficult time designing or enforcing standards in some important areas, and may be slow to address new problems.
? Ethics is not following culturally accepted norms. Some cultures are quite ethical, but others become corrupt -or blind to certain ethical concerns (as the United States was to slavery before the Civil War). "When in Rome, do as the Romans do" is not a satisfactory ethical standard.
? Ethics is not science. Social and natural science can provide important data to help us make better ethical choices. But science alone does not tell us what we ought to do. Science may provide an explanation for what humans are like. But ethics provides reasons for how humans ought to act. And just because something is scientifically or technologically possible, it may not be ethical to do it.


Why Identifying Ethical Standards is Hard
There are two fundamental problems in identifying the ethical standards we are to follow:
1. On what do we base our ethical standards?
2. How do those standards get applied to specific situations we face?
If our ethics are not based on feelings, religion, law, accepted social practice, or science, what are they based on? Many philosophers and ethicists have helped us answer this critical question. They have suggested at least five different sources of ethical standards we should use.
Five Sources of Ethical Standards
The Utilitarian Approach
Some ethicists emphasize that the ethical action is the one that provides the most good or does the least harm, or, to put it another way, produces the greatest balance of good over harm. The ethical corporate action, then, is the one that produces the greatest good and does the least harm for all who are affected-customers, employees, shareholders, the community, and the environment. Ethical warfare balances the good achieved in ending terrorism with the harm done to all parties through death, injuries, and destruction. The utilitarian approach deals with consequences; it tries both to increase the good done and to reduce the harm done.
The Rights Approach
Other philosophers and ethicists suggest that the ethical action is the one that best protects and respects the moral rights of those affected. This approach starts from the belief that humans have a dignity based on their human nature per se or on their ability to choose freely what they do with their lives. On the basis of such dignity, they have a right to be treated as ends and not merely as means to other ends. The list of moral rights -including the rights to make one's own choices about what kind of life to lead, to be told the truth, not to be injured, to a degree of privacy, and so on-is widely debated; some now argue that non-humans have rights, too. Also, it is often said that rights imply duties-in particular, the duty to respect others' rights.
The Fairness or Justice Approach
Aristotle and other Greek philosophers have contributed the idea that all equals should be treated equally. Today we use this idea to say that ethical actions treat all human beings equally-or if unequally, then fairly based on some standard that is defensible. We pay people more based on their harder work or the greater amount that they contribute to an organization, and say that is fair. But there is a debate over CEO salaries that are hundreds of times larger than the pay of others; many ask whether the huge disparity is based on a defensible standard or whether it is the result of an imbalance of power and hence is unfair.

The Common Good Approach
The Greek philosophers have also contributed the notion that life in community is a good in itself and our actions should contribute to that life. This approach suggests that the interlocking relationships of society are the basis of ethical reasoning and that respect and compassion for all others-especially the vulnerable-are requirements of such reasoning. This approach also calls attention to the common conditions that are important to the welfare of everyone. This may be a system of laws, effective police and fire departments, health care, a public educational system, or even public recreational areas.
The Virtue Approach
A very ancient approach to ethics is that ethical actions ought to be consistent with certain ideal virtues that provide for the full development of our humanity. These virtues are dispositions and habits that enable us to act according to the highest potential of our character and on behalf of values like truth and beauty. Honesty, courage, compassion, generosity, tolerance, love, fidelity, integrity, fairness, self-control, and prudence are all examples of virtues. Virtue ethics asks of any action, "What kind of person will I become if I do this?" or "Is this action consistent with my acting at my best?"
Putting the Approaches Together
Each of the approaches helps us determine what standards of behavior can be considered ethical. There are still problems to be solved, however.
The first problem is that we may not agree on the content of some of these specific approaches. We may not all agree to the same set of human and civil rights.
We may not agree on what constitutes the common good. We may not even agree on what is a good and what is a harm.
The second problem is that the different approaches may not all answer the question "What is ethical?" in the same way. Nonetheless, each approach gives us important information with which to determine what is ethical in a particular circumstance. And much more often than not, the different approaches do lead to similar answers.
Making Decisions
Making good ethical decisions requires a trained sensitivity to ethical issues and a practiced method for exploring the ethical aspects of a decision and weighing the considerations that should impact our choice of a course of action. Having a method for ethical decision making is absolutely essential. When practiced regularly, the method becomes so familiar that we work through it automatically without consulting the specific steps.

The more novel and difficult the ethical choice we face, the more we need to rely on discussion and dialogue with others about the dilemma. Only by careful exploration of the problem, aided by the insights and different perspectives of others, can we make good ethical choices in such situations.
We have found the following framework for ethical decision making a useful method for exploring ethical dilemmas and identifying ethical courses of action.
This framework for thinking ethically is the product of dialogue and debate at the Markkula Center for Applied Ethics at Santa Clara University. Primary contributors include Manuel Velasquez, Dennis Moberg, Michael J. Meyer, Thomas Shanks, Margaret R. McLean, David DeCosse, Claire Andr?, and Kirk O. Hanson.
This article appeared originally in Issues in Ethics, V. 1, N. 2 (Winter 1988). It was last revised in May 2009.

SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES

Competency 724.7.1: Ethical Leadership - The graduate analyzes and demonstrates how codes of ethics affect practice, discusses specific issues in safety for quality care, recognizes the importance and role of confidentiality for security of information and professionalism, determines the appropriate standards under which nurses work, and understands how these standards guide nursing practice.

Competency 724.7.2: Continuing Competence in Nursing - The graduate identifies the federal and state regulations under which nursing is practiced, recognizes how these regulations affect the practice of nursing in a specific care setting, recognizes the professional nursing role in a changing health care delivery system, describes unprofessional conduct rules, and determines the importance of maintaining competence through recurring measurement and validation of nursing expertise.

Introduction:

Professional nurses need to be able to recognize the regulations and scope under which they practice and apply ethical principles in decision making.

Case Study:

As a staff nurse in an intensive care unit, you accompany Dr. K to assess the condition of a patient, Mr. E, currently in the emergency department. The nursing home where Mr. E resides has brought him to the hospital because of lung congestion. The medical notes indicate that Mr. E is a 67-year-old white male with diabetes, high blood pressure, poor vision, and hearing difficulties, and is mildly developmentally delayed.

After assessing Mr. E?s condition, Dr. K determines that Mr. E has pneumonia secondary to aspiration. Mr. E is dyspneic on exertion and is running a fever of 101o F. He has a blood oxygen saturation level (SpO2) of 88% on room air. Dr. K determines that Mr. E will need to be placed on a ventilator and admitted to the intensive care unit. When Dr. K explains the situation Mr. E shakes his head and says, ?Go away! No! No! Take me home.? Knowing that Mr. E is developmentally delayed and hypoxic, Dr. K is concerned that Mr. E does not understand the situation.

Dr. K notes that without the ventilator Mr. E will continue to aspirate and likely die. Dr. K asks you to look at Mr. E?s file to determine whether there is anyone else who might have responsibility for Mr. E. The chart indicates that seven years ago Mr. E checked himself into the local nursing home. When he entered the nursing home a patient advocate helped him fill out an advance directive, which stated Mr. E?s medical wishes. Mr. E clearly indicated that he did not want a ventilator or cardiopulmonary resuscitation. No family member signed the advance directive and it is unclear if any family members were involved. Mr. E has also filled out a medical power of attorney, which states Mr. E wants his younger brother, Mr. Y, to make medical decisions for him in the event he is no longer able to do so.

Dr. K asks you to call the brother and explain the entire situation. You call Mr. Y and tell him his brother is in the hospital with serious pneumonia. You explain that if Mr. E is not treated soon, he will most likely die within a few days. You tell Mr. Y that his brother is refusing the ventilator. You also explain to Mr. Y that his brother?s low oxygen saturation and fever may be preventing him from thinking clearly. Mr. Y asks if he can think about it and let you know the following day. Because Dr. K feels it is an urgent situation and that the decision needs to be made right away, you tell Mr. Y that it cannot wait. You do not mention the advance directive.

Finally Mr. Y agrees to drive to the hospital, see his brother, and make a decision. Immediately after hanging up the phone, Mr. Y decides to call his niece, Ms. H, hoping she might know what to do. His niece does not answer the phone, so he leaves her a message about the situation, stating he would like her advice on what to do.

Ms. H receives the phone message within the hour. She immediately calls Mr. Y back, but he is no longer home. Ms. H calls her boyfriend and asks him to drive her to the hospital. When she gets there, she does not find Mr. Y, but she is directed to the intensive care unit, where you are still on duty. Ms. H arrives with her boyfriend at her side.

You greet Ms. H just as Dr. K walks into the waiting room. Upon hearing who Ms. H is, Dr. K begins to explain Mr. E?s condition. The boyfriend is standing next to Ms. H and there are several other people sitting in the waiting room. Dr. K emphasizes the need for someone to provide consent for the ventilator. He does not mention Mr. E?s advance directive. Ms. H quickly provides verbal consent and tells Dr. K she will talk with her uncle, Mr. Y, and convince him to sign the necessary paperwork since he is the one with the medical power of attorney. Dr. K plans to proceed with the intubation while Ms. H and her boyfriend wait for Mr. Y?s arrival.

You are scheduled to take a dinner break and go to the cafeteria where you sit with three nurses who work on the medical-surgical unit where many ICU patients are transferred. You explain the situation to them and ask them what they think you should do. One nurse says, ?What difference does it make? The guy?s got diabetes, is retarded, and is already in a nursing home.? Another nurse tells you to forget it and says that no one pays attention to HIPAA anyway. A third nurse says there was no such thing as an advance directive when she went to school so she doesn?t know anything about them. You return to the unit to find Mr. E intubated and on a ventilator.

Note: Case study adapted from ?Treating Ed: A Medical Ethics Case Study? by Eric Ribbens. Copyright held by the National Center for Case Study Teaching in Science, State University of New York at Buffalo. Used with permission.

Task:

Review the case study and write an essay (suggested length of 2?3 pages) in which you do the following:


A. Describe one of your INDIANA state regulations or nursing standards of practice that applies to your role in this case study.

1. Discuss the implications of the selected regulation on the above scenario.

B. Describe a nursing code of ethics approved by the American Nurses Association (ANA) that applies to this case study.

1. Discuss how this code would impact your professional decision in this situation.

2. Discuss the ethical implications in the scenario of placing the patient on the respirator.

3. Discuss the ethical considerations Mr. Y should weigh before agreeing to authorize the use of the ventilator for his brother.

C. Analyze factors that complicate Mr. E?s advance directive.

D. Analyze the Health Insurance Portability and Accountability Act (HIPAA) violations in the scenario.

E. Analyze the professional conduct of the nurses in the scenario.

1. Explain the steps that you as the nurse should take in the scenario, based on the ANA code of ethics.


F. If you use sources, include all in-text citations and references in APA format.



Note: Please save word-processing documents as *.rtf (Rich Text Format) or *.pdf (Portable Document Format) files.

Note: For definitions of terms commonly used in the rubric, see the attached Rubric Terms.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.

Hello,
I did use your services before and was very pleased. I need this paper in 3 days,please let me know if this is possible.

I am a maternity/ NICU RN, and have daughter that was born prematurely at 29 weeks. This was the reason I becomes a nurse, to help others.

This is what is expected to address:

The attachment is just a guide, to answer questions, when writing this paper.

After reading "Chapter 3: To Heal Sometimes, To Comfort Always," complete the questionnaire titled, "My Nursing Ethic."

Explore the Code of Ethics page of the American Nurses Association website.

http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx

Using the reading and the questionnaire, write a paper of 750-1,000 words in which you describe your professional moral compass. As you write your paper, include the following:

1. What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?

2. Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma.

3. Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?

Do not be concerned with the use of ethical terminology for this paper.

Prepare this assignment according to the APA guidelines.

ARTICLE/CASE LAW SEARCH

? Find an article or a current legal case involving a critical regulatory issue in health care for discussion in class.
? Write a 550- to 1,050-word analysis of the article or legal case and be prepared to present how the issue in the article or legal case relates to the nature, sources, and functions of the law.
? Refer to the Article/Case Law Search in the materials section of the student Web site for more information.
? Cite at least two scholarly references to support your information.
? Format your report according to APA standards.
This assignment is due Week One April 18, 2011 by 6pm.

Content
60 Percent Points Available
6 Points Earned
X/6 Additional Comments:
? Analyze the article or legal case.
? Article or current legal issue involves a critical regulatory issue is health care.
? Issue relates to the nature, sources, and functions of the law.
? Has identified and discussed recommendations that could be made.
Organization / Development
20 Percent Points Available
2 Points Earned
X/2 Additional Comments:
? Paper is 700 to 1,050 words in length
? The introduction provides sufficient background on the topic and previews major points
? The conclusion is logical, flows, and reviews the major points
? At least two scholarly references are included that support information
Mechanics
20 Percent Points Available
2 Points Earned
X/2 Additional Comments:
? The paper, including the title page, reference page, tables, or appendixes, follows APA standards for format as directed by the instructor.
? The paper is laid out with effective use of headings, font styles, and white space.
? The rules of grammar, usage, and punctuation are followed and spelling is correct.
Total Available Total Earned
10

Scenario:

The scenario is about a patient named Mrs. Burgone, she is unable to have a liver transplant because she is over the age of 70 even though she can afford to pay for the surgery.
"Let me see if I understand you correctly," Mrs. Burgone said. "I need a liver transplant, but I'm not allowed to have such an opperation?"
"That's correct," Dr. Popp said. "The National Health policy stipulates that transplant surgery cannot be performed on patients over the age of seventy."
Mrs. Burgone shook her head. "But I don't expect National Health to pay for it. I'm able to pay for it myself."
"That doesn't matter. It's a matter of social policy, not medicine. The idea is that we can't afford, as a society, to do everything for every patient. You might be able to pay for such an operation, but not everybody can. Then society would have to pay for those who can't afford it, and society can't afford to do that. Consequently, to be fair, the operation is denied to everyone above the age of seventy."
"That doesn't seem fair to me," Mrs. Burgone said. "How can it be fair to condemn someone to pain and a greater risk of death when a way of changing this is available?"

Q1: is this sort of system consistent with the position that all citizens have a right to care?
Q2: Would a single-payer system solve the proplem posed here, or are suck problems the conseqence of single-payer systems?
Q3: Does a society's commitment to provide a "decent minimum" of health care necessarily require organ transplants?


In this assignment, one must complete an ethical analysis and then render a decision using ethics that supports the woman getting the transplant. Fifty percent of the paper should be devoted to the decision and 50% of the paper should consist of the ethical analysis.

ethical analysis:

? Identify the ethical problem(s);
? Identify the information needed before a responsible decision can be made?what is this information and from whom should it come?
? Identify every stakeholder involved in the decision;
? Articulate the values relevant to this problem;
? Identify the available options and assess them in light of values served and in light of feasibility (e.g., financial, political, organizational constraints); and
? Discuss the process by which the decision should be made and who should be involved in making it.


Required text:

Title: Intervention and Reflection: Basic Issues in Bioethics
Author: Ronald Munson
Publisher: Cengage
Ed/Year: 9th/2012
ISBN-13: 9781111186562

1. Typed on 8 1/2 x 11 white paper DOUBLE spaced.
2. Text (body of paper) between four (4) to six (6) pages.
3. Must include title and reference page.
4. Written using the most updated style of APA (5th ed.).
5. Written in standard English, following rules of grammar, sentence structure, punctuation, and terminology.
INTRODUCTION: Complete description of the case without any identifying information about the patient of institution. Include HISTORICAL, LEGAL and ETHICAL perspectives of the issues involved in the case, concluding with the writer's position on the selected issue.
DISCUSSION: Present the relevant and appropriate ethical consideration/arguments that support the position taken on the issue. The writer must persent convincing arguments for the position taken, support by the literature. Arguments are logically developted. Conceptual clarity is provided.
OPPOSING ARGUMENTS: Discuss the opposing relevant and appropriate ethical arguments to the position taken on the issue. Arguments are logically developed. Conceptual clarity is provided.
ADEQUATE DOCUMENTATION: and support from the literature. You need to include a minimum of three (3) references as documentation of and support for the content in the paper. Grammar, sentence structure and punctuation are correct.
THIS PAPER IS BASED ON A SPECIFIC CASE STUDY. I NEED TO HAND IN THE PARTICULAR CASE STUDY THAT THE PAPER IS BASED ON WHEN I HAND IN MY PAPER, SO I NEED TO HAVE ACCESS TO IT. CAN YOU MAKE THAT POSSIBLE. OTHER REFERENCES CAN BE UTILIZED, BUT THE MAIN FOCUS OF THE PAPER IS TO DEMONSTRATE UNDERSTANDING OF A SPECIFIC, PERTINENT ETHICAL ISSUE IN HEALTH CARE, ARISING IN A CASE STUDY FROM CLINICAL PRACTICE. LIKE I SAID, I MUST SUBMIT A COPY TO MY INSTRUCTOR WHEN I HAND IN MY PAPER OF THE CASE STUY YOU BASE THIS PAPER ON. THIS PAPER MUST BE BASED ON ONE CASE STUDY ONLY, NOT MORE THAN ONE.

Additional Information:

I ordered a case study paper earlier today and I had some additional information I needed to get to the writer of my paper. I wanted to let him/her know that within the body of the paper, when discussing "the writer's" position and arguments, that means me (or whom ever is writing the paper, not who wrote the particular case study you have chosen to write the paper on). Also, instead of using I and me throughout the paper, we are to use "the writer" and/or "this author" to mean me or I when voicing our opinion or discussion.
In the opposing arguments the writer (your writer) is to discuss the opposite of how he/she feels.
On the original order form, I stated I needed to have access to the case study you used for constructing the paper

Sonic Healthcare's MARKETING TACTICS AND STRATEGIES
6.1 TACTICS/ STRATEGIES RELATING TO MARKETING MIX
6.1.1 Product/ Service related
6.1.2 Distribution related
6.1.3 Price related
6.1.4 Promotion/ communication related
6.1.5 People related
6.1.6 Society related (e.g. corporate social responsibility and ethics)
6.2 COMPETITIVE POSITIONING
6.3 MARKET SEGMENT STRATEGIES

People should be allowed to buy and sell organs for transplant purposes."
Each of you will OPPOSE this statement in completing the assignment.
What are the issues associated with your position? Really identify and explore the relevant aspects and components of the different issues.
Identify the different angles from which to address your position (i.e. the rights of the patient, donor, health care provider, tax payers, etc.)
List the arguments that support and oppose your position
Identify the relevant ethical frameworks that can be used to support your position
Investigate the advantages and disadvantages for each of the perspectives you previously identified. As you gather your evidence, take note of the evidence of the opposing position. Familiarity with such information should help you to tailor your arguments and conclusions to make them more sound and convincing. Consider both the short and long term effects of your position.
A few paragraphs per each key point are sufficient and ethical framework into your argument.

**I have tried to write this paper, I can not bring myself to oppose this argument, I am for it. Help. Every time I start to write, I can't.

Customer is requesting that (superduper68) completes this order.

Ethical and Legal Perspectives of the Health Care System ? I

INSTRUCTIONS TO WRITER (SEE ATTACHED RESOURCE FILES)

In 200 words or more answer each topic question (and corresponding sub-questions) thoroughly in the form of an APA formatted paper. Include three scholarly peer reviewed citations for each topic question. Reference Case Study I and Case Study II in attached Resource Files.

Topic 1: Comparing Ethical Principles
Compare two ethical principles that apply to ethical decision-making and how each one fits your own personal belief system about the role of the advanced practice nurse.

Topic 2: Advanced Practice Nursing
Choose one end of life or one right to die ethical-legal dilemma that would cause the advanced practice nurse moral distress and write the introductory paragraph for the Unit 3 assignment.

Cite and reference at least three nursing peer reviewed articles to support the content in the paragraph.

Topic 3: Ethics, Moral dilemmas, and the Law
Explain how ethics, moral dilemmas, and the law affect decision-making in your area of specialty (Radiology R.N.), advance-nursing practice.

Topic 4: Ethical Legal Dilemma Advanced Practice Nursing Case Study I
Create a draft of the Ethical Legal Dilemma Advanced Practice Nursing Case Study I

Topic 5: A Ethical Dilemma that was Shaped or Influenced by the Application of Nursing Research
? Critique a reliable Internet source that describes an ethical dilemma that was shaped or influenced by the application of nursing research.
? Include issues of licensing and credentialing within the scope of the advanced practice-nursing role and post the critique in the body of the message (not as an attachment).
? Include the link to the Internet source in your posting for review and discussion.
? Do not post the entire article to protect against copyright violations.

Topic 6: The Difference Between Licensing and Credentialing
? Discuss state requirements for licensure and credentialing as an advanced practice nurse. Be sure to include the difference between licensing and credentialing, which state you are discussing, the impact of multi-state licensure, and the legal process required to be licensed and credentialed as an advanced practice nurse.

Topic 7: Ethical Violations and Misconduct in Nursing Research
Explain three ethical violations related to nursing research conduct that violates the protection of human subjects including what ethical decisions would have prevented the violations.

Topic 8: Ethical Legal Dilemma Advanced Practice Nursing Case Study 2
Create a draft of the Ethical Legal Dilemma Advanced Practice Nursing Case Study 2 and post it here in the body of the message for comment by your peers and instructor and then, peer review at least two colleagues? posts using the Unit 5 assignment grading rubric as a guide.

UNIT 3 ASSIGNMENT Part I
Case Study I
Ethical Legal Dilemma Advanced Practice Nursing

Description

In Unit 3 you will construct Part One of the three- part assignment.

Make sure to use the most recent version of APA format. Citations and References should be no older than five years.

Directions:

1. Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner with a doctoral degree.

2. Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts in the law.

3. Construct a decision that would prevent violation of the ethical principle and prevent the law from being violated.

Note:

? This is a fact-based assignment that will not include your opinion.
? This will require research and support for what is written.
? The assignment should be paraphrased without quotations from scholarly and fact-based publications.


To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

MN 506 - Unit 3: Scoring Rubric
Ethical Legal Dilemma Advanced Practice Nursing Case Study I
[50 points]
Requirements Meets Requirements Meets Some Requirements Does not Meet Requirements Total Points
1. Create an ethical legal decision-making dilemma involving a advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner with a doctoral degree.

2. Include one ethical principle and one law that would be violated and whether the violation would constitute a civil or criminal act based on facts in the law.

3. Construct a decision that would prevent violation of the ethical principle and prevent the law from being violated.
The assignment contains all requirements listed in the requirements column of the grading rubric. The assignment contains 2-3 requirements listed in the requirements column of the grading rubric or needs more clarity. Missing all 3 requirements listed in the requirements column of the grading rubric.
40 39-1 0 40
The assignment meets the current edition of APA manual writing and formatting requirements.
There are 3 or fewer APA errors. There are more than 3 but fewer than 5 APA errors. There are more than 5 APA errors.
10 7 5 4-0 10
Total Points 50

Paper is to be typewritten, double spaced and in APA format. At least 5 reference sources must be utilized. I need 5 pages of content and one page references. The paper must explain the issue and the current literature concerning this issue including a minimum of one research study that has been conducted in relation to this issue (cultural issues in end of life care and nursing implications.) In addition, the paper is to address the impact this issue will have on healthcare and or nursing.

Introduction:

The accreditation process seeks to help organizations identify and resolve problems and to inspire them to improve the safety and quality of care and services provided. The process focuses on systems critical to the safety and the quality of care, treatment, and services.

For this task, you will assume the role of director of accreditation. You will review and analyze the materials (e.g., records, previous audit, trends, e-mails) provided in the case study to prepare for the audit. You will need to look across all departments and examine trends and patient care issues to determine readiness.

Task:


A. Complete a periodic performance review (PPR) as you determine the readiness for the accreditation audit of the healthcare facility in the attached ?Accreditation Audit Case Study? by doing the following:

1. Discuss the current compliance status of the healthcare facility.

2. Discuss any trends evident in the case study that may cause the organization to not be compliant with the Joint Commission standards for patient care.

3. Review the performance improvement standard regarding staffing in the healthcare facility?s patient care unit by doing the following:

a. Analyze the data to determine the staffing patterns of the patient care unit.

b. Develop a staffing plan to minimize the number of falls in the patient care unit.


B. If you use sources, include all in-text citations and references in APA format.


Note: Please save word-processing documents as *.rtf (Rich Text Format) or *.pdf (Portable Document Format) files.

Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.

TO THE WRITER
Please let me know if you need more explanation about what you need, I don?t wish for you to have too little material to work with.

I sent all the instructions from the professor what is expected, I also sent the hospital site so you can have an idea about what to say about the hospital or if I am the one who should do something about it

Please use only websites that I sent to you, if you use others, they have to be scholarly journals and I?d like to have the references

1) http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf
Catheter-Associated Urinary Tract Infection (CAUTI) Event

2) GUIDELINE FOR PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS 2009
http://safecarecampaign.org/Media/pdf/cdc-hicpac.pdf

Carolyn V. Gould, MD, MSCR 1; Craig A. Umscheid, MD, MSCE 2; Rajender K. Agarwal, MD, MPH 2; Gretchen Kuntz, MSW, MSLIS 2; David A. Pegues, MD 3 and the Healthcare Infection Control Practices Advisory Committee (HICPAC)


3) Recommendations on Prevention of Catheter-associated Urinary Tract Infection
http://www.chp.gov.hk/files/pdf/recommendations_on_prevention_of_catheter-associated_urinary_tract_infection_r.pdf


5) http://www.amerinet-gpo.com/Documents/Catheter-Associated%20Urinary%20Tract%20Infection%20CAUTI%20Toolkit.pdf
Catheter-Associated Urinary Tract Infection (CAUTI)Prevention ToolkitMarch 2011

Elpern, E. H., Killeen, K., Ketchem, A., Wiley, A., Patel, G., & Lateef, O. (2009, November). Reducing use of indwelling urinary catheters and associated urinary tract infections. American Journal of Critical Care, 18(6), 535-541. Doi:10.4037
Infection control resource. (n.d.). Retrieved from http://www.infectioncontrolresource.org/Past_Issues/IC10.pdf

Institute for healthcare improvement. (2013). Catheter-associated urinary tract infection. Retrieved from http://www.ihi.org/explore/cauti/Pages/default.aspx
Saint, S., Meddings, J. A., Calfee, D., KowaLski, C. P., & Krein, S. L. (2009). Catheter-associated urinary tract infection and the medicare rule changes. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754265/pdf/nihms-143075.pdf

Trautner, B. W. (2010). Management of catheter-associated urinary tract infection (CAUTI). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865895/pdf/nihms198949.pdf

http://www.hindawi.com/journals/ipid/2013/405041/
Interdisciplinary Perspectives on Infectious Diseases
Volume 2013 (2013), Article ID 405041, 4 pages
http://dx.doi.org/10.1155/2013/405041

Research Article
Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
Bona Yoon,1 Samantha D. McIntosh,1,2 Leslie Rodriguez,3 Alma Holley,3 Charles J. Faselis,1,2 and Angelike P. Liappis1,

http://archive.ispub.com/journal/the-internet-journal-of-family-practice/volume-3-number-2/urinary-catheters-a-review.html#sthash.6VNVsal4.dpbs

The Internet Journal of Family Practice ISSN: 1528-8358
Urinary Catheters: A Review
________________________________________
Kalyanakrishnan Ramakrishnan M.D. Department of Family and Preventive Medicine, OUHSC Oklahoma City, OK USA
James W. Mold M.D., MPH Professor, Department of Family and Preventive Medicine, OUHSC Oklahoma City, OK USA
________________________________________
Citation: K. Ramakrishnan, J.W. Mold: Urinary Catheters: A Review. The Internet Journal of Family Practice. 2005 Volume 3 Number 2. DOI: 10.5580/621
________________________________________

http://www.nursingcenter.com/lnc/static?pageid=930204

Nursing Interventions to Reduce the Risk of Catheter-Associated Urinary Tract Infection Staff Education, Monitoring, and Care Techniques
Margaret Willson
Mary Wilde
Marilyn-Lu Webb
Donna Thompson
Diana Parker
Judith Harwood
Laurie Callan
Mikel Gray

my main focus is the adult in the critical care and the other floors in the hospital and education to the nurses working in the hospital

This website gives an idea about the concerned stakeholders for my project.
http://www.strategiesfornursemanagers.com/expert_content/243128.cfm
STAKEHOLDERS) What staff members should be included when developing a CAUTI prevention team?


http://www.cdc.gov/HAI/recoveryact/PDF/CAUTI_EvalQuestions_Final_Clearedversion32910.pdf
catheter-associated Urinary Tract Infection (CAUTI) Baseline Questionnaire

THE following INFORMATION ABOUT THE HOSPITAL (BROWARD HEALTH MEDICAL CENTER) WHERE THE PRACTICUM TAKES PLACE

http://www.browardhealth.org/about
http://www.browardhealth.org/global
http://www.browardhealth.org/?id=175&sid=2
http://www.browardhealth.org/75years
http://www.browardhealth.org/upload/docs/purchasing/PatientRegAdd1.pdf
http://health.usnews.com/best-hospitals/area/fl/broward-general-medical-center-6390210

MY PROJECT IS ABOUT CATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI), I WILL ATTEND TO CAUTI PI TEAM MEETING, PRESENT A POWER POINT TO MANAGERS ABOUT THE SUBJECT, ADD COMPETENCY SHEET TO THE HOSPITAL?S LEARNING SITE SO THE NURSES CAN READ, CREATE SMALL FLASH CARDS AS A REMINDER FOR THE FLOOR NURSES INCLUDE ICU NURSES AND POST INFORMATION ON THE NEED TO KNOW SO NURSES INCLUDE MANAGERS CAN BE READING

Grading Rubric ? NRHL 680: Capstone Project Paper and PowerPoint Presentation
Headings Points Points Earned Comments
Abstract 10
Problem/Need 10
Project Objectives 10
Literature Review 10
Target Audience 10
Project Implementation 10
Evaluation 10
Lessons Learned 10
Writing & Organization 10
PowerPoint presentation 10
Total 100


Abstract
No more than 350 words


Problem/Need
Problem/need clearly described that the project addressed (be specific)
Data supporting the problem

Project Objectives
Appropriate use of Bloom?s Taxonomy (if learning objectives developed)
Realistic, specific, measurable
Appropriate for project

Literature Review
What does the current literature say about the problem/need?
Integration of best practices from the literature into the project

Target Audience
Description of the target audience
Describe the setting where the project was implemented (size of site, multicenter, community, geographic location, population served, and other considerations)

Project Implementation
Describe the project design and implementation process
Key stakeholder involvement
Description of intended outcomes
Application of theory/framework/model
Appendices are meaningful to understand the project and/or replicate it

Evaluation
Where the project outcomes achieved; if not, why?

Lessons Learned
Strengths of the project
Unanticipated events
What you learned and will apply to future projects

Writing and Organization
Clearly written
Grammatically correct
APA guidelines adhered to


PLEASE ADD abstract and appendices and reference page

PLEASE LET ME KNOW PROMPTLY IF YOU NEED MORE INFORMATION SO THE PROJECT CAN GO SMOOTHLY FOR THE BOTH OF US AND IT CAN BE A GOOD EXPERIENCE FOR. THIS IS EVER MY FIRST CAPSTONE

THANK YOU VERY MUCH IN ADVANCE

Hi, Im a diagnostic radiography student. this is a medico-legal and ethics paper, so please kindly write the essay related to healthcare. Pls cover all types of genetic testing and please do not cite from wikipedia. Thank you!!

Genetic testing:

-preimplantation genetic diagnosis (see the side bar, Screening Embryos for Disease)
-prenatal diagnostic testing (an example related to my profession is prenatal ultrasound screening for Downs syndrom)
-newborn screening
-carrier screening, which involves identifying unaffected individuals who carry one copy of a gene for a disease that requires two copies for the disease to be expressed
-Genealogical DNA test (for genetic genealogy purposes)
-presymptomatic testing for predicting adult-onset disorders such as Huntington's disease
-presymptomatic testing for estimating the risk of developing adult-onset cancers and Alzheimer's disease
-confirmational diagnosis of a symptomatic individual
-forensic/identity testing



Pls address the ethical aspects followed by the legal aspects with regards to Singapore Law pls.



Pls cover the following:

1) Ethical theories: Deontological (Kant's dutiful person model), Consequentialism (Mill's utilitarian Man model), Virtue (Gilligan's Caring and Love model)

2) Prima-faci principles for healthcare providers: autonomy, non-maleficence, beneficence, justice (these four are compulsory), paternalism, fidelity, veracity (these 3 are optional)

3) Virtues like respect for others, nonmalevolence, benevolence, fairness & empathy



below is a framework on ethical decision making from my notes. thank you!!

Step 1: identify the ethical issue

Step 2: Clarify personal & professional values
-professional code of ethics
-interpretation & position reflect underlying value system

Step 3: Clarify influencing factors or barriers
-gather information from professional literature
-prima facia (minimum first 4)

Step 4: Define guiding principles
-follow professional code of ethics whenever possible

Step 5: Analyze alternatives
-usually at least 2 course of action will develop
-analyse each argument for and against each action plus their outcomes
-check for validity of the arguments

Step 6: Find common ground
-dilemmas may lead to disputes
-communication is important
-strategies may include: collaboration, compromise, accommodation, coercion, avoidance

Step 7: Decide & Act
-ideal is personal value is consistent with others
-be consistent to legal and professional standards
-being aware of the guiding principles behind the decision will justify your decision

Step 8: Assess outcomes
-evaluate both the process & outcomes
-learn from the experience and improve your approach towards them

Conclusion:-the code gives a framework to direct, coordinate and assist in the day to
day challenges
-at all times abide by the code, respect patient's autonomy & dignity of the
patient.

There are faxes for this order.

Customer is requesting that (pheelyks) completes this order.

Assignment Details: Ethics

(1) Discuss the following questions

? What are at least 2 main differences between utilitarianism and relativism?
? If you had only 1 choice between the 2 theories, which would you choose, and why?
? How would you apply it to a current situation?
o Find a news report on the Internet for an ethical violation to use as an example, and include a link to the report as part of your post.
Explain your answer in 2?3 paragraphs.

Assignment Details: Healthcare Finance

(2) Discuss the following questions:

The Ocean View Diabetes Clinic is considering implementation of a tele-health diabetes unit. This will allow clinicians to monitor the care of the patient from the patient?s home through the use of high-tech equipment. The pilot project will consist of two test patients. This will be a very costly project. The Ocean View Diabetes Clinic needs to know how long it will take the revenue generated from investing in this tele-health diabetes unit to equal the dollars spent to implement this pilot project.
The assumptions are as follows:
? Cost of the equipment: $500,000
? Longevity of the equipment: 20 years
? Revenue the new unit will generate: $225,000
? Operating costs related to earned revenue: $150,000
? Annual depreciation: $25,000
Given the assumptions above, determine the computation method that will be most beneficial to the manager in evaluating the use of the organization?s money. In other words, is present value analysis the best method in the scenario?
Discuss the following:
? Explain why your selection is the best method as opposed to the other methods, used to evaluate the use of money. You must have an understanding of the various methods used to evaluate the use of money (unadjusted rate of return, present value analysis, internal rate of return, and payback period).
? Describe your understanding of the four basic financial statements (balance sheet, statement of revenue and expense, statement of changes in fund balance/net worth, and statement of cash flows) by doing the following:
o Explain the importance of reporting within a health care organization.
o Identify one of the four major reports used when reporting the organization?s finances.
o Describe why you think the financial statement you chose outlines information that is deemed most valuable to the company.


Assignment Details:Intro to Psychology

3) Discuss the following questions:
Surgical conscience is the idea that medical professionals will be ethical, promote patient safety, and always seek to do the right thing (Girard, 2007). You have been tasked with preparing an instrument tray for an out-patient procedure. You have almost finished your task, and you are checking your work when the surgeon rushes in and insists on starting before you are ready.

What is your initial thought? Would your reaction and action be different than that initial thought?
What are the risks involved with speaking up (verbalizing) and not speaking up (internalizing)?
How might you use critical thinking and adaptability to approach the situation?
What do you think motivates us as humans to try to do the right thing?
Reference

Girard, N. (2007). Surgical conscience: Still pertinent. AORN Journal. Retrieved from http://findarticles.com/p/articles/mi_m0FSL/is_1_86/ai_n19448205

**** These are three discussion questions, three different classes, three paragraphs for each will be ok.

Thank you.

I should make three question for ethic in health care.

My subject will be 1)euthanasia
2)Impaired infants and medical futility
3)Abortion

------------------------------------------------------------
This is specific explanations for making questions.
------------------------------------------------------------
At least four kinds of questions may be raised about any literature that we read: questions of clarification, interpretative questions, factual questions, and evaluative questions. These may be distinguished as follows:
? A factual question has one correct answer.
? An evaluative question asks us whether we agree, so the answer depends on our knowledge, experience, and values, as well as our interpretation.
? A clarifying question concerns what a statement means, and may have more than one answer.
? An interpretive question generally has more than one answer that can be supported with evidence from the text or the context of the statement.
All these questions are appropriate for ethics, but in class discussion we will focus on clarifying questions and interpretive questions. If you don?t understand a statement, then please ask a question of clarification. If you have one understanding of a statement, but are aware that a statement may be understood in various ways, then please ask an interpretive question about one or more of these meanings. Discussing clarifying and interpretative questions will be most useful for class discussion. This is why students are required to raise three such questions for class discussion, based on the reading assignments, before the end of the course.
Many clarifying or interpretive questions concern words, phrases, or sentences that have some ambiguity. In addition, clarifying or interpretive questions may concern possible relationships between statements, or images, or ideas. A good clarifying or interpretive question expresses both genuine doubt and real interest. For the purpose of class discussion a clarifying or interpretive question that is clear and specific, rather than vague and general, will be most helpful.
A factual question you may have can be transformed into an interpretative question by asking what certain facts mean to others, or to you. Asking if Dominican University has an ethical code of conduct is a factual question. Asking what it means for the University to have or not have such a code is an interpretive question.
An evaluative question can be made into an interpretative question by shifting the inquiry from judgment to meaning. Asking whether or not someone agrees or disagrees with an ethical principle requires an evaluation. Asking why those who support do support such ethical principle requires interpretation.
Interpretative questions may concern meaning for others or for us. We might ask what the ethical presumption, that persons are to be treated as innocent of a crime until proven guilty beyond a reasonable doubt, has meant for us as well as what it has meant for our society. Even if we have never been arrested or charged with a crime, this ethical presumption may nonetheless have considerable meaning for us, as it does for many others.
Finally, we can ask interpretative questions about interpretative questions. We might ask how our knowledge or ignorance, our prejudices and desires, and our culture and time in history shape our "interpretations" of ethical arguments, and the degree to which we "find" or "construct" meaning.
Is our way of inquiring about ethics itself an interpretation? Does our talk about ethics reinforce certain interpretations and obscure others? What are the questions hidden from us by our questions? And what are the meanings we may be missing, because of the meanings we have found or constructed for ourselves?

Your answer to each essay question should be complete and between 200 and 300 words.

1.The National Practitioner Data Bank (NPDB) collects information regarding the professional competence and conduct of physicians, dentists, and other health care providers. The Fourth Amendment to the United States Constitution limits unlawful search and seizure. Aren't these two laws in conflict? Take a position either for or against the NPDB and support your rationale.

2.The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has required that organizations that have a sentinel event conduct a root cause analysis to identify the basic or causal factors of the sentinel event. Explain how a root cause analysis helps resolve this issue.

3.Individuals have a right to refuse to participate in abortions and can abstain from involvement in abortions as a matter of conscience or religious or moral conviction. Should this premise be expanded to include participation in stem cell research? Take a position either pro or con and clearly support your rationale.

4.Insurance companies and major organizations are limiting health insurance coverage because of lifestyle issues, such as smoking. Should treatment for AIDS be limited because of the same issues? Take a position either pro or con and clearly support your rationale.

5.Compare and contrast the differences between allowing a patient the right to die and physician-assisted suicide?

6.Numerous lives would be saved if more organs would be donated. Explain how this could be accomplished in the healthcare setting.

7.Should management have the right to hire replacement workers during a strike? Take a position either pro or con, and defend it.

8.Described what should be included in a management-training program to assist managers in preparing fair and objective performance appraisals?

9.Much has been written about the advantages and disadvantages of Managed-Care Organizations. Take a position, either for or against the following statement: managed-care organizations have helped to control medical costs.

10.Explain how a CQI process should be selected and implemented within a healthcare setting.

11.The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?

12.The "journey to excellence" must begin with a healthcare leadership. Since all leadership must be involved, how would you deal with a member of leadership that does not support the initiative? Explain your rationale.

Core Assessment: Concept Analysis
This core assessment is a written paper valued at 20% of the course grade. It addresses the following Core Learning Outcomes 1-4.

Assignment
Each student will develop a written paper of not less than 10 pages evaluating a concept and linking it to nursing theory.

Concept Analysis Guidelines
Select a concept of interest with a relationship or relevance for the nursing profession or clinical practice (examples may include illness, pain, nursing, environment, patient, caring, healing, wellness, etc). Explain the concept based on the literature.

A. Introduce the concept

B. Review the literature for definitions, clues to definition

C. Determine defining criteria for the concept (I'll know it when I see it because...)

D. Give real life examples or the concept in use.

E. Choose a nursing theory of personal interest. How would a nurse who practices nursing using this theory address the concept of interest? Identify how the concept and the theory you chose are linked.

F. Discuss the relevant issues you learn about this concept and the theory you chose.

G. Present actual or potential implications for nursing and/or health care relevant to your work.

All papers submitted in the Nursing Program will be written in APA format. This paper requires a minimum of 10 peer reviewed nursing related articles less than 10 years old unless the document is considered historic in nature.

Your answer to each essay question should be complete approx. 200 words.

1. Consider and discuss the role each of the following plays in determining whether effective communication does or does not take place: emotions, use of technical jargon, length of the message, interest level of the audience, educational level of the audience, and distractions. Identify each of these as an environment barrier or a personal barrier to communication. Finally, as a manager of a health care facility, suggest what you might do to overcome each of these barriers to communication.

2. The importance of listening, as a managerial skill, specifically relates to improving communications and coordination within an organization and to determining if effective understanding of a message has occurred. Recognizing that the basic methods of human communication are writing, reading, speaking, and listening, offer an explanation that justifies why there are required courses--at all levels of education for these methods--with the exception of listening. Listening is a learned skill, similar to any other type of communication. Research the five levels of listening--ignoring, pretending, selective listening, attentive listening and emphathic listening--and suggest how, as a health care manager, you would focus your managerial skills to ensuring that your employees are listening at the optimal levels.

3. Networking, as an integral component of politics, is a concept health care organizations and employees should practice. Describe what is involved in networking. Explain the value of building relationships based on mutually beneficial exchanges. Discuss how the adage, You scratch my back, and Ill scratch yours, applies to the concepts of networking and politics? Describe how the element of trust plays into the establishment of networking relationships. Express your opinion on the relevance of ethical issues that are involved in organizational politics.

4. Refer to the In Practice insert on page 291Building External Coalitions Results in Internal Success. Explain how the establishment of external coalitions should benefit the CEO of Urbanwide Health Plan. Explain how the establishment of external coalitions should benefit Urbanwide Health Plan. Explain how the establishment of external coalitions should benefit the managers and employees of Urbanwide Health Plan. Explain how the establishment of external coalitions should benefit the clients of Urbanwide Health Plan. As a manager of Urbanwide Health Plan, cite any disadvantages that you might deal with, because of your CEOs involvement in the many coalitions listed. Would you prefer to work for a CEO as involved as John OConner, or would you prefer a CEO who spends more time at his desk? Why?

5. You have dreamed of opening an Adult Day Care Center for elderly clients with early and middle stage dementias, in an area that currently has no such service. You recognize that your clients will need a range of multidisciplinary services. You have negotiated with the city's Public Housing Authority to use their multi-purpose facility for a $1/year rental fee. How would you begin designing your organization and the positions and/or teams necessary to provide the services? What would you consider as your biggest obstacle in getting your organization through the design process? Why?

6. Alliances vary in regard to ownership, control, size, governance, and nature of participation. Compare and contrast the types and forms of alliances. As a prospective manager for a health services organization, which type/form of alliance would you least like to be associated with? Which type/form of alliance would you most like to be associated with? Justify your answer.

7. Recognizing the four categories of alliance problems--parochial self-interest, misunderstanding and a lack of trust, different assessments, and low tolerance for ambiguity--identify which treatment/s you would use to eliminate and/or correct the problem. Explain your reasons for your choices.

8. The "learning organization" was popularized by Peter Senge's The Fifth Discipline. Describe each of Senge's five learning disciplines, detailing how each discipline is of importance to an effective health care learning organization. In your opinion, which of Senge's disciplines is the most difficult for a learning organization to master? Is one discipline more vital than the others to the success of a learning organization? Why or why not?

9. Refer to "In Practice: Stakeholder Interest: Corporate Responsibility for Disclosure of Scientific Evidence in Medicine" on pages 432-433, which chronicles the law suit filed by New York State Attorney General Eliot Spitzer against GlaxoSmithKline. Explain how this article relates to quality assurance and quality improvement. Discuss the FDA's role in this situation and how it applied principles of quality assurance and quality improvement. Do you feel that GlaxoSmithKline should be held liable? Why or why not?

10. When considering the issue of quality improvement in health services organizations, there are conflicting views on how best to achieve the improvement, in the most effective manner. The most popular options for "the road to quality improvement" claim it can best be reached by changes in the organization and management of patient care units, by the availability of state of the art technology, by increased clinician competence and skills, or by the degree of teaching activity occurring? In your opinion, where should the greatest emphasis be placed? Why? Which option do you consider to be the most "doable?" Why? Which option do you consider to be the most difficult to achieve? Why?

There are faxes for this order.

Topic: Allocation , Resources of health care Organization

-Identify the resource acquisition and allocation processes in the health organization.
-Identify the following types of resources in your paper:
-Financial
-Operating
-Capital (equipment, technology, plant, and property)
-Human
-Recruitment
-Retention

-Describe how the CEO or equivalent officer might work with the governing body to allocate resources appropriately.
-Discuss any ethical considerations in the process of allocating the organization?s resources.
-Format your paper and any references consistent with APA guidelines.
-Have a Conclusion and References section.

MATERIALS
attached hard copy by fax.