Ethical issue
What ethical issue have you recently encountered when teaching health promotion strategies to a patient? What ethical decision-making process did you use?
REVIEW OF CURRENT HEALTHCARE ISSUES
If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social Determinant such as environment/community, education, access/quality to healthcare?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
To Prepare:
- Review the Resources and select one current national healthcare issue/stressor to focus on.
- Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
key populations and ethical considerations
Week 3 Key Populations and Ethical Considerations
· Points 50
This week, compose the key population and ethical considerations portion of your research. In this section, address the following:
1. Describe the key populations in your study, both the participants and the researchers.
2. Describe any ethical considerations in relation to recruitment of the participants and your plans to address them.
3. Explain any ethical concerns related to data collection/intervention activities (these can include participants refusing participation or early withdrawal from the study and response to any predicable adverse events) and your plan to address them.
4. Describe the treatment of data, who has access to the research data and the protection of confidential material.
5. Explain any conflicts of interest that may arise if your study were to be implemented.
This section of your research should be 3–4 pages in length, written in APA format with cited references.
Review the rubric for grading criteria.
Points Possible: 50
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reply
Thank you for your post! I want to clarify the interval and ratio level of measurements.
Feedback and Question: In statistics, measurements having starting points are classified as ratio levels of measurement.
Do you know if blood pressure readings are measured starting from zero and cannot go below zero, with zero being the baseline? I recommend watching this YouTube video to learn about the types of data and levels of measurement. I'd love to hear your thoughts after watching it. Thank you.
discussion 5 psycho
Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:
Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a “way out.”
When she is stressed, Vee says that she often “zones out,” even in the middle of conversations or while at work. She states, “I don’t know who Vee really is,” and describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
- Describe the presenting problems.
- Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
- Discuss which cluster the primary diagnosis belongs to.
- Formulate and prioritize a treatment plan.
Submission Instructions:
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
- All replies must be constructive and use literature where possible.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Cardiovascular
Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient. Three (3) resources after 2008 are required along with APA format.
A 70 year old black American female who has the following
preexisting conditions;
Hypertension (HTN): longterm
Heart failure (CHF) : 2 months
Coronary artery disease (CAD) : longterm
Myocardial infarction (MI) : five years ago
Ejection (EF) of 55% : 2 months ago
Socioeconomic data:
Widow, Lives alone, independent ADL’s, Nonsmoker, Nondrinker
Pharmacologic data:
Aspirin (acetylsalicylic acid, ASA)
Clopidogrel bisulfate (Plavix)
Lisinopril (Prinivil, Zestril)
Carvedilol (Coreg)
Furosemide (Lasix)
Potassium chloride (KCL)
Client Profile:
70 year old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Diagnosed with heart failure 2 months age and is followed up at home with a visiting nurse every other week for to assist is managing her heart failure symptoms. She is being referred to the nurse practitioner for follow up of changes in her symptoms.
Assessment:
At the office the following subjective and objective data was supplied:
“I noticed my legs were getting a bit bigger and they are achy, too.”
She has gained 10 pounds over the last 5 days.
She gets short of breath when ambulating from one room to the other (approximately 20 feet) and must sit down to catch her breath.
Her oxygen saturation is 95% on room air. Bibasilar crackles are heard when auscultating her lung sounds.
She denies any chest, arm, or jaw pain or nausea.
She denies any back pain, stomach pain, confusion, dizziness, or a feeling faint.
She admits only to feeling a little more tired than usual.
Eats Southern Cooking when at home.
Vital signs :
T= 97.6 F (36.4C), BP 140/70, P 93, R 22.
Labs ordered:
complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), troponin, creatine kinase (CPK), creatine kinase-MB (CKMB), and albumin. The APN also prescribes oral (PO) Furosemide and arranges an outpatient electrocardiogram (ECG, EKG), chest X-ray, and echocardiogram.
Questions
1. Which assessment findings during this visit are consistent with heart failure?
2. Why did the APN ask about back pain, stomach pain, confusion, dizziness or a feeling that she might faint?
3. Explain what the following terms indicate and include the normal values: cardiac output, stroke volume, afterload, preload, ejection fraction and central venous pressure. Is an ejection fraction of 55% significant. Provide rationale.
5. Discuss the body’s compensatory mechanisms during hear failure. Include an explanation of the Frank-Starling law in your discussion.
6. Heart failure can be classified as left or right ventricular failure, systolic versus diastolic, according to the New York Heart Association (NYHA) and using the ACC/AHA (American Heart Association) guidelines. Explain these four classification systems and the signs and symptoms that characterize each. Which Classification fits this patient?
7. Provide a rationale for why each of the following medications have been prescribed: Aspirin, Clopidogrel bisulfate (Plavix), Lisinopril(Prinivil/Zestril) , and Carvedilol (Coreg).
8. What information will each of the following tests provide: CBC, BMP, BNP, Troponin, CPK, CKMB, and albumin, EKG, CXR, and Echocardiogram
Reflection:
Please see the attachment for instructions
COUGH
Subjective
Danny Rivera is an 8 years old boy presenting with a wet cough. He reports that the cough has lasted three days. He describes the cough as wet and gurly.
Objective
The cough is temporarily treated by the children’s cough medicine his mother gave him. He reports that the cough is not aggravated by activity. He reports the cough gets worse at night, which keep him up at night. He reports tenderness of his throat. He reports a history of frequent rhinorrhea and cough. Risk factor includes second-hand smoke from father, history of pneumonia in the past year, and being overwiegt for his age.
Assessment
He has no acute respiratory distress, his lungs are clear to auscultation and is afebrile, He has current rhinorrhea, examination of the nose reveals boggy turbinate. His throat appears red with visible cobblestoning in the back. His respiratory rate is inscreased, and he present mild tachycardia.
Plan
I recomende calling his grandmother to pick him up from school. He should see his primary care provider within the next few days for an evaluation and tests to rule out asthma and allergies. In the meantime, he should be allowed to rest and should be given cough medicine as needed.
Module 6 case study-5550
Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.
Potential Outcomes and Metrics
outline the metrics you would use to measure the success of your proposed intervention. Include the source of your metrics (should be from the evidence-based practice literature) and the hypothesized outcomes you anticipate from the intervention. Include risks and both potential positive and negative outcomes.
Cite any sources in APA format.
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