Identify relevant legal concepts and laws and how they might guide management, Examine relationships between the clinical-ethical decision and the law.

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Identify relevant legal concepts and laws and how they might guide management,
Examine relationships between the clinical-ethical decision and the law.

Nursing Ethical and Legal Case Study

Case Study : The Case of Muna

Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well. She is 66 years old, recently widowed and, two years ago, she was diagnosed with Alzheimer’s disease.
Muna displays certain behaviours that are annoying other patients on the ward and some of the nursing staff. The main issue is that she refuses to remain either in bed or in her chair and attempts to mobilise without assistance. She continually appears agitated and can be aggressive to other patients who try to approach her. The nursing staff are concerned for her safety and the safety of other patients.
To address Muna’s behaviour, a nurse has contacted the doctor to discuss prescribing sedative medication and the doctor has consequently prescribed diazepam to see if it would help.
Muna’s family visit her in the afternoon and find her lying in a wet bed. She is non responsive and very sleepy. They are concerned that she no longer seems able to recognise them or respond to their questions.
They complain to the nursing staff that they were not consulted about their mother’s treatment and insist on the sedative being discontinued.
• Use the ethical decision making framework to determine your recommendations for the ongoing care of Muna
• Consider the legal and ethical implications surrounding the chemical restraint of Muna.
Can chemical restraint be justified to be in the best interests of Muna
Consider interests of all stakeholders and resource availability
Consider Safety and hazards
Consider mental health legislation.

Model for Ethical Decision-Making.

1. Clearly state the problem
Consider the problem within its context and attempt to distinguish between ethical problems and other medical, social and legal problems

2. Get the facts:
Find out as much as you can about the problem through history, examination and relevant investigations.
Are there necessary facts that you do not have? If not search for them.

3. Consider the four ethical principles:
• Autonomy: what are the patient’s preferences?
• Beneficence: What benefits can be obtained for the patient?
• Non-maleficence: what are the risks and how can they be avoided?
• Justice: how are the interests of different parties to be balanced?

4. Identify ethical conflicts:
Explain why the conflicts occur and how they may be resolved.

5. Consider the Law:
Identify relevant legal concepts and laws and how they might guide management,
Examine relationships between the clinical-ethical decision and the law.

6. Making the ethical decision: Clearly state the clinical ethical decision and justify it eg:
Specify how guiding principles were balanced and why( i.e. justify the decision)
Take responsibility for the decision & provide alternative management;
Evaluate the decision;
Document the decision
Reference:
Kerridge, I., Lowe, M., & McPhee, J. (1998). Ethics and law for the health professions (p. 84) Tuggerah, NSW: Social Science Press

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Describe the plans that could be offered. What are the differences between the plans? Based on your analysis of potential utilization, determine which plan (if any) you would offer the chosen company. What are the reasons for your decision?

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Describe the plans that could be offered. What are the differences between the plans? Based on your analysis of potential utilization, determine which plan (if any) you would offer the chosen company. What are the reasons for your decision?

Reviewthe Health Care Economics Issues HMO Simulation: https://ecampus.phoenix.edu/secure/aapd/vendors/tata/UBAMSims/financing_health_care/financing_health_care_economic_issues_hmo_simulation.html Report on both ContructItANDE-Editors.DO NOT report on Dearden Industries. Preparea 1,050- to 1,400-word paper in which you present a profile ofConstructIt and E-Editors, including the demographics of the employees, the health care risk factors or potential areas of high utilization, and the premiums each company is willing to pay. You must view this assignment from the sellers point of view. As the Vice President of Castor Collins Insurance,your job is to maximize profits and minimize risk for Castor Collins. Describe the plans that could be offered. What are the differences between the plans? Based on your analysis of potential utilization, determine which plan (if any) you would offer the chosen company. What are the reasons for your decision? List this in your paper The profile of the chosen company includes the demographics of the employees, the health care risk factors, and the premiums the company is willing to pay. An analysis of the potential utilization is presented. The selected plan to sell to this company is presented along with reasons why. Reasons for not selecting the other plans are also given. The paper is 1,050 to 1,400 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. Formatyour paper consistent with APA guidelines.Include a references page, with the UOP simulation listed.

 

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Whose message is this? Who created or paid for it? Why?

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Whose message is this? Who created or paid for it? Why?

Whose message is this? Who created or paid for it? Why? Locate an advertisement that portrays nursing in some way (this can be print or web-based, or TV) and address the following questions in a 500-750 word paper:

Whose message is this? Who created or paid for it? Why?
Who is the “target audience”? What is their age, ethnicity, class, profession, interests, etc.? What words, images or sounds suggest this?
What is the “text” of the message? (What we actually see and/or hear: written or spoken words, photos, drawings, logos, design, music, sounds, etc.)
What is the “subtext” of the message? (What do you think is the hidden or unstated meaning?)
What “tools of persuasion” are used?
What positive messages are presented? What negative messages are presented?
What part of the story is not being told?

Your paper should be in proper APA format, double-spaced and a Microsoft Word document. All sources should be cited and referenced appropriately.

 

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Ethnographic Narrative

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Submit your Ethnographic Narrative, which should be 5–6 pages long and include the following:

  • A descriptive reflection on the Taino indigenous group you selected during the course. Please include any additional insights about the group’s history/origins, culture, beliefs that you found after Weeks 2 and 3.
  • A comparison of the similarities or differences that you found between the Taino indigenous group and your own American culture.
  • An evaluation of how two of the five role perspectives from Thinking Like an Anthropologist (pp. 8–9) influenced, changed, or reinforced your conception while studying indigenous peoples.

A description of two or three questions about the Taino indigenous group that you studied that remains unanswered, and that you may pursue in the future.

 
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Unit 2 Assignment: Healthcare Legislation, health and medicine homework help

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Unit 2 Assignment: Healthcare Legislation, health and medicine homework help

Question descriptionThis assignment reinforces information in your textbook and learning objectives in this unit. It is recommended that you work through this assignment as you complete your reading assignment. Each question is worth 20 points. You will be graded on the accuracy and thoroughness of your responses.

Questions

  1. How has Health Insurance Portability and Accountability Act (HIPAA) impacted healthcare organizations and patients?
  2. What was the intent of the passage of Medicaid?
  3. What was the intent of the passage of Medicare?
  4. The ACA has 4 broad headings: providing new consumer protection; improving quality and lowering costs; increasing access to affordable care; and holding insurance companies accountable. Identify two provisions under each category. How does each provision contribute to the meeting the intent of its broader category? (One paragraph per provision is an appropriate length.)
  5. Innovative long-term care services that meet the diverse medical needs, personal desires, and lifestyle choices of older Americans have made important strides over the years. What are two of these innovations? How have these innovations impacted the healthcare industry? Discuss policy and societal changes that led to each innovation. (One paragraph per innovation in an appropriate length).
 
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Differentiate between descriptive and inferential statistics.

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Complete both Part A and Part B below.
Part A
Before completing the following questions, be sure to have read Appendix C and the Statistical Software Resources at the ends of Chapters 2 and 3 from Statistics Plain and Simple.
Highlight the required answers to the question in your Excel output.
1. Using Microsoft® Excel®, enter the following data from the 40 participants by first creating a variable labeled “Score”. Next, compute the mean, median, and mode for the following set of 40 reading scores:
2. Imagine you are the assistant manager of a fast food store. Part of your job is to report which special is selling best to the store manager at the end of each day. Use your knowledge of descriptive statistics and write one paragraph to let the store manager know what happened today. Use the following data.
Special number Sold Cost
Huge Burger 20 $2.95
Baby Burger 18 $1.49
Chicken Littles 25 $3.50
Porker Burger 19 $2.95
Yummy Burger 17 $1.99
Coney Dog 20 $1.99
Total specials sold 119
3. Suppose you are working with a data set that has some different (much larger or much smaller than the rest of the data) scores. What measure of central tendency (mean, median or mode) would you use and why?
4. During the course of a semester, 10 students in Mr. Smith’s class took three exams. Use Microsoft® Excel® to compute all the descriptive statistics for the following set of three test scores over the course of a semester. Which test had the highest average score? Which test had the smallest amount of variability? How would you interpret the differences between exams, and note the range, means, and standard deviations over time?
5. For each of the following, indicate whether you would use a pie, line, or bar chart, and why:
a. The proportion of freshmen, sophomores, juniors, and seniors in a particular university
b. Change in GPA over four semesters
c. Number of applicants for four different jobs
d. Reaction time to different stimuli
e. Number of scores in each of 10 categories
NO RESPONSES
6. Using the data from question 1, create a frequency table and a histogram in Microsoft® Excel®.
Part B
Answer the questions below. Be specific and provide examples when relevant.
Cite any sources consistent with APA guidelines.
Question Answer
What are statistics and how are they used in the behavioral sciences? Your answer should be 100 to 175 words.
Providing examples of each, compare and contrast the four levels of measurement. Your answer should be 175 to 350 words.
Differentiate between descriptive and inferential statistics. What information do they provide? What are their similarities and differences? Your answer should be 175 to 350 words.
 
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Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations).

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Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations).

Nursing Leadership Health Policy
0
The IOM (Institute of Medicine) Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance he/she takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, healthcare, and/or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare part D, Medicaid, nursing regulation, medication technicians, etc.

In 750-1000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

1.The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
2.Include a specific section for the exact wording for the bill or change in wording of the law.
3.Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
4.Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur Did you vote for the individual in office that you want to help you make this change

 

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IN 750-1,000 WORDS, PROPOSE A HEALTH POLICY CHANGE (THAT IS CURRENTLY A BILL, A LAW, OR MAY NOT EXIST AT ALL) AT THE STATE OR FEDERAL LEVEL THAT YOU BELIEVE NEEDS TO CHANGE AND WHY.

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IN 750-1,000 WORDS, PROPOSE A HEALTH POLICY CHANGE (THAT IS CURRENTLY A BILL, A LAW, OR MAY NOT EXIST AT ALL) AT THE STATE OR FEDERAL LEVEL THAT YOU BELIEVE NEEDS TO CHANGE AND WHY.

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc.

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must not be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
Include a specific section for the exact wording for the bill or change in wording of the law.
Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?
Resources:

Review different pieces of legislation for ideas on wording.
Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

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Attack or defend the following statement and then explain what you would do, in concrete terms, to improve things in your involvement or what you have observed. “

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APA NURSING Assignment:
HAVE A INTRODUCTION AND CONCLUSION IN ESSAY FORM SEE ATTACHMENT FOR APA EXAMPLE TO FORMAT
Answer all of the following questions using headers to separate topics.

  1. Attack or defend the following statement and then explain what you would do, in concrete terms, to improve things in your involvement or what you have observed. “It seems that the people behind the new computerized systems perceive that the people who work here and the roles they play are to make the computer’s job easier as opposed to the systems being here to help transform average healthcare workers into super workers.”
  2. It has been argued that getting nursing involved in the implementation of all of the computer systems in healthcare is a good thing, but doing that is in conflict with current patient care and the reality that many nurses are uncomfortable with some of the changes they see and would rather not be involved. To what extend does this resonate with your personal experience? What do you believe are the key prerequisites that must be addressed before enough of the right nurses and other key role players in the healthcare process and what concrete steps would you recommend to address these and why?
  3. Chapter 5 in the text provides a perspective for implementing Clinical Information Systems. From your experience, what are the more critical issues or concerns you have with the material presented in this chapter and what would you advocate should be done to improve the likelihood that such projects would be successful. (You can address technical issues, skill issues, change and fear issues, as well as business and/or leadership issues.)
  4. Chapter 6 focuses on the Electronic Medical Records and physician adoption and utilization. Reflect on your experiences with physicians and other key, scarce, and therefore costly healthcare professionals. How well do you believe these professionals would react to the kinds of changes and approaches covered in the chapter. Have the authors done a good job addressing the really key issues and concerns? If not what did they miss? To what extend do you believe what is advocated would work in your environment or healthcare facilities with which you are familiar? Sketch what you might propose be done differently, if anything.
 
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Probability and Statistical Analysis Worksheet

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Title
ABC/123 Version X		 1
Probability and Statistical Analysis Worksheet
PSYCH/625 Version 5		 1

University of Phoenix Material
Probability and St
statistical Analysis Worksheet
Complete Parts A, B, and C below.

Part A

1. Why is a z score a standard score? Why can standard scores be used to compare scores from different distributions? Why is it useful to compare different distributions?

2. For the following set of scores, fill in the cells. The mean is 74.13 and the standard deviation is 9.98.

Raw score Z score
68.0 ?
? –1.6
82.0 ?
? 1.8
69.0 ?
? –0.5
85.0 ?
? 1.7
72.0 ?

 
3. Questions 3a through 3d are based on a distribution of scores with and the standard deviation = 6.38. Draw a small picture to help you see what is require
a. What is the probability of a score falling between a raw score of 70 and 80?
b. What is the probability of a score falling above a raw score of 80?
c. What is the probability of a score falling between a raw score of 81 and 83?
d. What is the probability of a score falling below a raw score of 63?
4. Jake needs to score in the top 10% in order to earn a physical fitness certificate. The class mean is 78 and the standard deviation is 5.5. What raw score does he need?

Part B

 

The questions in Part B require that you access data from the Pulse Rate Dataset.

The data is based on the following research problem:

Ann conducted a study on the things that may affect pulse rate after exercising. She wants to describe the demographic characteristics of a sample of 55 individuals who completed a large-scale survey. She has demographic data on the participants’ gender (two categories), their age (open ended), their level of exercise (three categories), their height (open ended), and their weight (open ended).

5. Using Microsoft® Excel® software, run descriptive statistics on the gender and level of exercise variables. From the output, identify the following:
a. Percent of men
b. Mode for exercise frequency
c. Frequency of high level exercisers (exercise level 1) in the sample
6. Using Microsoft® Excel® software, run descriptive statistics to summarize the data on the age variable, noting the mean and standard deviation. Copy and paste the output from Microsoft® Excel® into this worksheet.

 
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