Response to wk 4 discussion cultural

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PLEASE READ THE FOLLOWING POST AND RESPOND IN 50 WORDS OR MORE:

Low socioeconomic status is an obstacle to obtaining adequate medical care for low-income populations. Braveman and Gottlieb report that some patients lack transportation and miss their outpatient appointments (2014). Another problem is inadequate or low-quality food consumption. Insufficient space for exercise can lead to a passive lifestyle, since several generations can live in one household. Lack or inadequate health insurance can prevent people from managing their chronic diseases.

Healthy People 2030 offers prevention as one of the strategies to reduce health care disparities and promote disease prevention for all. Community RNs can offer assistance with colorectal, breast, cervical and other screenings. To eliminate food insecurity nurses can assist local communities with participation in National School Lunch Program, Supplemental Nutrition Assistance Program, and Women, and Infants and Children Program.

In this module, you begin laying the foundation for your academic and professional success.

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 In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone. 

WEEKLY ETHICS QUESTIONS

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WEEKLY ETHICS QUESTIONS

1.
Physicians frequently receive medication samples from pharmaceutical reps. These samples are often distributed to patients. Patients may not be charged for these samples, although an administration fee may be charged if the drug must be delivered in an injection. It could also include special grafting material. In this case, the physician could charge for applying the graft, but not for the graft material.

It is allergy season and a close friend has asked if you can obtain samples for the symptoms since the friend is not employed and cannot afford to purchase from the pharmacy.

Would it be appropriate to do this since there was no cost to the physician? If not, how would you respond to the friend?

2.
Physicians have been caught charging for the samples. Your physician instructs you to charge the patient for the free sample because the practice needs the money & the patient “probably won’t know the difference”. How would you handle such a request?

3.
Search the internet for “Anti-kickback statue” and “Stark” violations. These are federally mandated guidelines that are subject to severe penalties for violations.

Now apply to the following scenario:

A pharmaceutical rep offers the physician tickets to a major sporting event if the physician will agree to purchase all of their drugs from this rep. If the physician accepts, will this violate one of these federal guidelines?

ETHICAL AND LEGAL FOUNDATIONS OF PMHNP CARE

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  • Select one of the following ethical/legal topics:
    • Autonomy
    • Beneficence
    • Justice
    • Fidelity
    • Veracity
    • Involuntary hospitalization and due process of civil commitment
    • Informed assent/consent and capacity
    • Duty to warn
    • Restraints
    • HIPPA
    • Child and elder abuse reporting
    • Tort law
    • Negligence/malpractice
  • In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

 Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles. 

pn 2 m1 written

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 Submit your completed assignment by following the directions

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands.

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 Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. 

Disscusion Board Week 4

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Discussion Board 1.

Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion Board 2.

Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case. 

For Colorado mom, story of daughter’s hospital death is key to others’ safety | Colorado Public Radio (cpr.org)

Patient Safety Advocate Carole Hemmelgarn 
Links to an external site.

https://www.youtube.com/watch?v=3SfrQnwRIjU&t=4s

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion Post- Presentation Reflection

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Please answer the questions below on regards of   

Inadequate Pain Management in Postoperative Patients

  1. Regarding your presentation assignment, what did you learn about the research project?
  2. Would you have approached the assignment differently? Why or why not?

 

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Care of the older person

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Copyright © 2022 The Open College (Version 10)

Module Title CARE OF THE OLDER
PERSON

Module Code 5N2706

Assessment Technique PROJECT

Weighting 40%

Write a comprehensive discussion on the care needs of the older person with
a specific illness or disability.

Your assignment will be assessed on the following:

• Understanding and application of concepts associated with caring for older people

(10 marks)

• Relevant research and sources of information (5 marks)

• Appropriate presentation of work (5 marks)

• Comprehensive analysis of findings and logical conclusions and recommendations

(10 marks)

• Reflection on completion (10 marks)

Your Project Must:

1. Have a word count of 1500-2000 words {+/- 10%}

2. Be supported with relevant research material within the body of text

3. Include a Bibliography

4. Include a contents page

5. Written in Third Person.

Please note if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

• Please note: the following are not included in your word count.

• Contents page

• Title page

• Bibliography/reference list

• Appendices

Copyright © 2022 The Open College (Version 10)

Important

For this project No Client is required, this project is based on theoretical knowledge gained from
studying the course material and external research.

You are required to base your project on ONE of the following topics:

1. Care of Older person with Alzheimer’s Disease

2. Care of Older person with a Cerebral Vascular Accident {stroke}

3. Care of Older person with Parkinson Disease

4. Care of Older Person with Vascular Dementia

5. Care of the older person with Arthritis

Guidelines: (Structure of Project)

Introduction:

• Introduce chosen topic and provide an overview of the aims of your project.

Ageing Process:

• Definition of ageism

• Physical signs associated with the body systems

• Attitudes and stereotyping associated with older persons

• Social Impact {Financial, retirement, culture}

Specific Illness:

• History

• Definition

• Causes

• Signs & symptoms

• Stages if associated

• Treatment

• Statistics

• Current Research on treatment

Physical Needs of Client: For this section and having researched your chosen Illness/Disability discuss
the care that would be provided to an older person under the following headings:

• Maintaining safety

• Eating & drinking

• Personal hygiene

• Mobility

• Elimination

• Sleeping.

Copyright © 2022 The Open College (Version 10)

Cognitive Needs of Client: For this section and having researched your chosen Illness/Disability
discuss the care that would be provided to an older person under the following headings:

• Communication

• Memory

• Behaviour

• Rehabilitation

• Recreational

Role of HCA: In this section discuss the role of the HCA in supporting the older person under the
following key areas:

• Holistic care

• Empowerment

• Dignity & respect

• Advocacy

• Self-esteem

• Needs of family

• Health promotion and education

Role of Statutory and Voluntary Agency:

• Identify 2 statutory and 2 voluntary agencies and outline their role within care of older

person and the supports provided.

Conclusion:

• reflect on your project and knowledge you have gained

• evaluate your findings

• provide recommendations for yourself

• provide recommendations on how quality care services could be improved for older person

PLEASE ENSURE TO CLEARLY REFERENCE All INFORMATION SOURCED IN YOUR WORK WITH
EVIDENCE OF IN-TEXT REFERENCING AND SUPPORTING BIBLIOGRAPHY. TO ENSURE THAT THE
CORRECT REFERENCING FORMAT IS APPLIED LEARNERS SHOULD REFER TO THE ADDITIONAL
GUIDELINES ON REFERENCING DOC.

PENALTIES WILL BE APPLICABLE (REF MOST UP TO DATE VERSION OF THE PLAGIARISIM POLICY) TO
THOSE ASSESSMENTS THAT DO NOT CONSIDER THESE REFERENCING GUIDELINES.

Any results issued are provisional and subject to confirmation from the QQI External

Authenticator.

Copyright © 2022 The Open College (Version 10)

MARKING SOLUTION (For Official Use Only)

Learner Name:

Centre: The Open College

Centre No.: 38365F

Assessment criteria Marks Total
Mark

Learners
Mark

Total
Learners
Mark

Understanding and application of concepts associated with
caring for older people:

Clearly illustrates understanding of the ageing process
Illustrates awareness of issues associated with ageism
Outlines the role of the HCA in delivering quality care to the
older person

3
3
4

10

Relevant research and sources of information:

Work is correctly referenced and Bibliography present
Sources of information are appropriate; identifies services
provided by statutory and voluntary organisations

2.5
2.5

5

Appropriate presentation of work:

Work is presented clearly and in correct format
Follows a logical order and contents page present

2.5
2.5

5

Comprehensive analysis of findings and logical conclusions
and recommendations:

Clearly illustrates understanding of a specific illness
associated with older person
Physical Care needs of the older person examined
Cognitive needs of the older person examined

5

2.5
2.5

10

Reflection on completion (of project) process:

Identifies personal knowledge gained
Provides personal recommendation to improve care
practice
Reflects on how quality care could be improved for older
person

4
3

3

10

Total marks for this piece of assessment 40

fundamentals M 2 b

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Respond to Kaffy

Ensuring accurate and confidential documentation in nursing is crucial for patient care, legal compliance, and maintaining the integrity of healthcare records. However, nurses face several challenges in achieving this goal. Three prominent challenges include workload, knowledge, and complex documentation systems.

Firstly, nurses often contend with heavy workloads that can make it challenging to dedicate sufficient time to accurate and complete documentation. The demands of patient care, frequent interruptions, and the need to juggle multiple tasks can sometimes hinder their ability to maintain comprehensive records (Cimino, 2013).

Secondly, nurses need to possess a deep understanding of documentation policies, procedures, and the legal implications of inaccuracies or omissions in their records. Knowledge gaps in these areas can result in documentation errors that compromise patient care and expose healthcare facilities to legal risks (Cimino, 2013).

Thirdly, the documentation systems that nurses use can be complex and not always user-friendly. Navigating these systems effectively requires training and familiarity, and any difficulties in system operation can affect the accuracy and confidentiality of documentation (Cimino, 2013).

To overcome these challenges, nurses can take proactive steps:

Workload Management: Nurses can prioritize their documentation tasks and seek opportunities to delegate tasks when possible. Utilizing informatics tools can help automate certain documentation processes, alleviating some of the time constraints (American Nurses Association, 2020).

Knowledge Enhancement: Nurses should seek out training programs related to documentation policies, procedures, and legal implications. They can also collaborate with colleagues or healthcare professionals for guidance and clarification on documentation-related queries.

System Proficiency: To tackle the complexities of documentation systems, nurses should invest time in learning how to use them effectively. They can also report any system-related issues to their supervisors, advocating for improvements where necessary (American Nurses Association, 2020).

The integration of informatics into nursing practice can play a transformative role in addressing these challenges. Informatics tools can:

Automate Documentation: By automating routine documentation tasks like generating nursing notes or medication administration records, informatics can significantly reduce the time burden on nurses, allowing them to allocate more focus to patient care.

Provide Alerts and Reminders: Informatics systems can offer real-time alerts and reminders, ensuring that nurses complete documentation tasks in a timely and accurate manner. These cues can be invaluable in preventing oversights (American Nurses Association, 2020).

In summary, informatics offers a multifaceted solution to the challenges nurses face in documentation. By automating tasks, providing reminders, improving data access, and enhancing security, it empowers nurses to deliver more accurate, complete, and confidential documentation while mitigating the obstacles presented by workload, knowledge, and complex systems.

References

Nursing Documentation and Informatics: A Core Competency for Nurses. (2020). American Nurses Association

Cimino, J. J. (2013). Nursing Documentation: Informatics for the 21st Century. (4th ed.).

Respond to Muni

1.Data Accuracy and Completeness: 

Maintaining the accuracy and completeness of patient information is one of the biggest issues in nursing documentation. The many duties that nurses must complete may cause them to forget to record important patient information or cause mistakes. Keeping the record updated in real-time may also be difficult if the patient's health changes quickly.

Strong observational and documenting abilities would be needed to overcome this difficulty. Peer evaluations, training workshops, and regular audits of medical records can all be beneficial. Electronic health record (EHR) solutions offered by informatics can significantly contribute to the reduction of errors by automatically recording and updating some patient data (such as vital signs from connected monitors).

2.Confidentiality and Privacy: 

Maintaining patient data security In nursing practice, confidentiality is essential. However, problems might occur as a result of unauthorized access, data breaches, or even an inadvertent disclosure of private information during normal conversations.

Nurses can avoid this by properly following HIPAA rules and upholding their professional limits. Staff members should receive comprehensive cybersecurity training and should only access patient data when necessary. Data security can be strengthened with the use of informatics systems like EHRs, which can assist with access controls, encryption, and audit trails to trace who is accessing data.

3.Time Constraints: 

Due to their busy schedules and time constraints, nurses may struggle to accurately and swiftly record patient information. As a result, there can be a delay in recording or inaccurate data.

This challenge can be lessened with good time management techniques and delegating when appropriate. Informatics is involved once again in this situation. Technologies like speech-to-text software and electronic health records (EHRs) help speed up the documentation process and note-taking. Nurses can document data at the point of care more quickly with the use of mobile devices.

Keep in mind to comment on other entries and offer helpful criticism. To improve our collective nursing practice, we may all benefit from exchanging real-world experiences and solutions.

REFERENCE

· https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111626/

· https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-019-4661-x

· https://www.nuance.com/asset/en_uk/collateral/healthcare/ebook/eb-nuance-nurse-clindoc-screen.pdf

· https://www.frontiersin.org/articles/10.3389/fcomp.2021.624555/full