Nursing  Ethical Considerations ( Practice Problem: Diabetes Mellitus)

Ethical Considerations ( Practice Problem: Diabetes Mellitus)Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following.·  What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?·  Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?·  What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?APA Formate ( include DOI number for all journal articles )I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PAGE ( 5-6  PARAGRAPH AND  SOURCES NO LATER THAN FIVE YEARS

 
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Nursing  Research

Joseph beuys reseaxh

 
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Nursing  Nursing

intext citation, references6.A dominantly inherited trait affects a child and his grandmother, but neither parent. This best illustrates which of the following principles?a. Variable expressivityb. New mutationc. Somatic mosaicismd. Nonpenetrancee. Germline mosaicism7.Two parents with autosomal recessive albinism have a child who does not have albinism. This is best explained by:a. An incorrect diagnosis in one parentb. Misattributed paternityc. Genetic heterogeneityd. Reversion of one of the mutant alleles to wild typee. Mosaicism in one parent

 
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Nursing  Discussion on End-of-Life Decisions and Advanced Directives

Week 4: Discussion on End-of-Life Decisions and Advanced DirectivesParticipation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.Step 1: Read attached article entitled,Advance Directives and Health Care Planning-Are all the pieces in place.pdfStep 2: Read the following article:Effect of Living wills on End of Life Care.pdfStep 3: Watch the video, “Advanced Directives: Important Healthcare Tools for Supporting You and Your Family”https://www.youtube.com/watch?v=GOIrnjqP5_M (Links to an external site.)Step 4: Watch the video, “How to Have an End of Life Discussion”https://www.youtube.com/watch?v=JtkgTzCSzqk (Links to an external site.)An Advanced Directive is a document in which a client who is competent is able to express wishes regarding future acceptable health care. The document may include decisions including the desire for extraordinary lifesaving measures, such as resuscitation, intubation, and artificial hydration, and nutrition. The advanced directive may also be used to designate another person to make decisions when the client becomes physically or mentally unable to do so. The Patient-Determination Act requires all clients admitted to a health care facility be asked if they have advanced directives.Planning guides for seriously ill clients includes:Living will: Legal document that instructs health care providers and family members about what, if any, life-sustaining treatment an individual wants if at some time the individual is unable to make decisions.Durable power of attorney for health care: Legal document that designates another person to make health care decisions for the client when the client becomes unable to make decisions independently.Nursing intervention in these types of situations is to ensure to communicate to the interdisciplinary health care team that the client has provided and advanced directive and that it has been placed in the client’s medical record. Clients who do not have advanced directives must be given written information outlining rights related to health care decisions.Initial Discussion scenario:Mr. Gomez is a 73-year-old man who is estranged from his wife. Since he prefers that she doesn’t make any medical decisions for him should the need arise, he has filled out an advance directive naming his daughter Elena as his health care proxy. He has suffered from diabetes for many years and is adamant that he does not want dialysis, even if it would sustain his life. He does, however, wish to have tube feeding for however long it will sustain him.One evening while at home with his daughter, Mr. Suarez has a seizure. He is taken to the hospital immediately, but never regains consciousness and doctors do not expect him to do so. Elena contacts her mother Mr. Gomez’s estranged wife and she quickly joins her daughter at the hospital. They want to put him on dialysis (as his diabetes is worsening) and a feeding tube (as there is no other way for him to receive nutrients). His daughter informs the doctors of her father’s end-of-life wishes. The doctors warn her that without dialysis her father will pass away more quickly, even with the feeding tube. Mr. Gomez’s estranged wife informs Elena that she needs to follow the advice received from the doctors in order to save her father’s life. Elena says that although she is aware of the consequences, she wants them to carry out her father’s wishes.The clients estranged wife immediately has her attorney file an order to stop Elena from following her father’s wishes that are in his advanced directive. She feels that even though they are estranged, she still should have the right to make decisions regarding Mr. Gomez’s care. This action delays Elena’s ability to honor her father’s wishes and the doctors feel that it is necessary to inform the hospital’s ethics committee about the ongoing issue.Assignment: Discuss the following questionsWhat is the role of the doctors in deciding whether or not to respect Mr. Gomez’s advanced directive?Does Mr. Gomez’s estranged wife have the authority to step in and ignore Mr. Gomez’s advanced directive. Explain your reasoning while providing evidence-based solutions in your conclusion.Gomez’s estranged wife has filed temporary order to ignore the advanced directive. If you were Elena, how would you handle this dilemma? What rights does Elena have that allow her to honor her father’s wishes?What is the role of the ethics committee and how can they best support the client and his family?

 
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Nursing  Week 7 Discussion 1: Health Initiatives

Due: In an effort to facilitate scholarly discourse, create your initial post by Thursday, and reply to at least two of your classmates, on two separate days, by Saturday.Initial PostWatch the video clip below:https://www.boston25news.com/news/health/overcoming-barriers-mental-health-care-stigma-communities-color/A4H7ANGT2BBT3ATRO7IQ754LIA#/Video TranscriptOvercoming barriers to mental health care and stigma in communities of colorOn-camera announcer: Boston 25 News is launching a new edition called Boston 25 Gets Real. In this series, we’re digging into issues impacting members of our community. And introducing you to the people who are working to create change.Boston 25 Gets Real About Mental Health. This reporter, Crystal Haynes, reveals the impact of the mental health crisis on communities of color.Crystal Haynes: From socioeconomic barriers to racial bias in healthcare and wellness fields, to stigma. Access to mental health in communities of color is a critical issue. We started working on this before the pandemic and we began with the issue of stigma. And the story behind the Roxbury non-profit, DeeDee’s Cry.Toy Burton (on camera): I went into the bathroom and just took everything under the bathroom sink, Comet, bleach, whatever; just mixed it all and drank it. And then, after a while I was like, “Wait a minute.” I’m like, “I don’t, I don’t wanna do this.”Crystal Haynes (VoiceOver): Where Toy Burton failed, her 23-year-old sister, DeeDee, unfortunately succeeded years prior. DeeDee’s suicide changed Toy’s life forever.On-screen caption: TOY BURTON Founder of DeeDee’s CryToy Burton: I was in total denial. ‘Cause I was like, “No, like, she was better, she was happy; she had just moved; you know, she had a two-year-old son.” So it hit me pretty hard because she was my big sister. And she was the person who made ME feel special, you know, made ME feel spot. And I wanted to be like her.Crystal Haynes (VO): Toy says DeeDee’s death sent her into a depression. Nineteen at the time, she says she started drinking and then moved to drugs. She got clean in 1986, but says it didn’t make the pain she felt go away.Toy Burton: And so they fixed my physical but they didn’t do nothing for my mental. So I went home with the same thoughts and the same me and the same hurt. And eventually, like, within the years, I just started to cut myself.Dr. Christine Crawford, Psychiatrist (on camera): Because there’s so much stigma around mental illness, there’s a tremendous amount of barriers for folks to access mental health services. And insurance not viewing mental health conditions on par with medical conditions.Crystal Haynes (VO): According to Mental Health America, in 2018, more than 58 percent of African American adults with serious mental illness did not receive treatment. Nearly 90% of Black and African-American people over the age of 12 with substance abuse disorder did not receive treatment.Dr. Christine Crawford is a psychiatrist at Boston Medical Center. She tells me mistrust of doctors and long-held stereotypes in the Black community are serious barriers to treatment.Dr. Crawford: Seeking out mental health treatment is something for the worried well. That is a luxury to be able to meet with someone once a week to talk about the emotional struggles that you’re going through.Crystal Haynes (VO): Dr. Crawford says lack of representation in the mental health field also plays a role. Only 4% of therapists in the U.S. are African-American.Dr. Crawford: When I told my family that I was going to pursue a career in psychiatry, my mother said to me, “Oh, well, I thought you were going to be a real doctor.” And so I made it my mission to go out into the community and de-stigmatize mental illness, to de-stigmatize my profession as a whole, so we can get more people into care.Crystal Haynes (VO): Toy has dedicated her life to fighting against the stigma in her community.Toy Burton: I was looking for resources. Resources about mental health and suicide prevention, and what I noticed is that they really didn’t do things in the Roxbury-Dorchester-Mattapan area to me, communities of color.Crystal Haynes (VO): Her non-profit, DeeDee’s Cry creates spaces where people can share their stories.Toy Burton: And someone had asked the question, like, “How did you get 150 people to register for a mental health event?” And I was like, “Because this is where the pain is at.”Crystal Haynes (on camera): The mind-body connection is also crucial to this conversation. Nearly half of all African-Americans have high blood pressure and high cholesterol and obesity. But few registered dieticians are people of color. Yet another barrier to access. I’m Crystal Haynes, Boston 25 News.Briefly describe the availability of and access to mental health care in your community and geographical area.How has the Covid-19 Pandemic revealed equity issues in certain communities?What do you see as the greatest barrier to access and how do you feel this would be best addressed? Be specific in regard to addressing this issue in your “community” or geographical area. Do you believe that private or public entities are best suited to address this? How do other countries address these issues?RepliesReply to at least two of your classmates. Your reply posts should build on the original post and demonstrate substantive reflection.

 
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Nursing  week’s discussion

For this last week of discussion, go back to the lesson for the week and review the Nurses on Boards and the National Nurse Campaign. As you reflect on what you have learned over the last 8 weeks:1.  What are your plans for the future?2.  Will you heed the call for action and join an organization like Nurses on Boards or become engaged with the National Nurse Campaign?3.  Will you join a professional nursing organization?4.  Do you have other ideas that would work to benefit your community or an organization that is important to you?5.  Share with the class what your plans are now that you have a new awareness of your abilities and capabilities to provide advocacy beyond the beside.6.  Compose your final Tweet about this class. Remember to be concise as Twitter only allows 140 characters. Share your Tweet in the discussion.

 
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Nursing  Discussion 1 Primary care

Hello students: In previous weeks we have been reviewing the prevalence, mortality and morbidity associated with breast cancer. This is a topic of extreme public and personal interest. Primary care providers deal with the diagnosis, and the screening of breast cancer on a daily basis. Therefore, in this discussion we will discuss about the importance of understanding the advantages and limitations of its screening

 
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Nursing  discussion post

The Patient Protection and Affordable Care Act (PPACA) of 2010 (section titled “Subtitle D”) identifies requirements relating to provider compliance with fraud, waste, and abuse laws.Identify three measures that your health care organization ((or health care organizations in general) has initiated, or could initiate, to comply with these measures.Support your analysis with a minimum of two peer-reviewed articles. 300 WORDS, CHECK PLAGIARISM

 
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Nursing  Ethical Considerations in Generating Nursing Research Evidence

Identify and discuss the three primary ethical principles articulated in the Belmont Report on which the standards of ethical conduct in research are based, and analyze those procedures that every researcher must incorporate to comply with said principles. Each student must expose the information obtained from the search for it.this is an assignment that must be 2 pages long with 15% or less of plagiarism MUST BE 15% OR LESS WILL DISPUTE AND REVIEW IF IS NOT LESS THAN 15%o Typed according to APA style for margins 7 edition, formatting and spacingstandards. Please include RUNNING HEAD ON THE PAPERo Would need an Abstract. Good 5 reference page format, References no morethan 5 year old.o After submission, a rating of 0-15% similarity will be considered acceptable. Over15% will not be considered acceptable.o NOTE:  Wikipedia is not a source to be used in any of the generated work; using itwill result in a “zero” for the assignment.o I need that you sent me also the plagiarism report.

 
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Nursing  2 coments each one 150 words (CITATION AND REFERENCE). 1/12

DQ1In an EBP Project, the independent variable is the variable that is varied or manipulated by the researcher whereas the dependent variable is the response that is measured. For instance, in the research of how doses of a drug affect the severity of symptoms, the project should compare the frequency and intensity of symptoms when different doses are administered. In this case, the independent variable is the dose and the dependent variable is the frequency and intensity of the symptoms (Joseph, 2019).In evaluating the outcome of EB projects, collection of dependent and independent variables is essential. One of the dependent variables that I would collect in my project is the health outcomes of the surgical patients undergoing surgery within the heath care organization. This is because this variable is determined by the application of pre-warming methods on the patients before, during and after the surgery. This evaluation would help in assessing the successful implementation of the change that I shall propose to the hospital. An independent variable that I would collect is for instance the uptake of pre-warming methods within the health care organization (Shihe, 2010). The uptake of evidence in nursing practice helps in determining the prevalence of the illness and the health outcomes associated with the condition among the surgical patients in the organization.ReferencesJoseph, M. (2019). Dependent and Independent Variables in Evidence-Based Practice-Nursing. The Nursing Ace, 3-8.Shihe, F. (2010). Independent Variable. Encyclopedia of research Design, 592-594.DQ2For my EBP project of a discharge education checklist for heart failure patients, the dependent variable would be: rate of readmission. The Independent variables would be: Age, Gender, Marital Status, Education Level, Financial Status.Because this project is to provide health education before discharge to reduce the readmission rate in patients admitted with heart failure, when assessing the patient’s health literacy I must take into consideration several factors that could contribute to their level of knowledge; for example, sociodemographic factors such as age, gender, marital status, education level, and income. It is necessary to collect these independent variables. The reduction of readmissions rate would be dependent on the patient’s health literacy.Arpey, N. C., Gaglioti, A. H., & Rosenbaum, M. E. (2017). How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study. Journal of primary care & community health, 8(3), 169–175. https://doi.org/10.1177/2150131917697439Lee E. W. (2012). Selecting the best prediction model for readmission. Journal of preventive medicine and public health = Yebang Uihakhoe chi, 45(4), 259–266. https://doi.org/10.3961/jpmph.2012.45.4.259

 
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