Week 6: Discussion Board Posting and 2 replies

Integrate one nursing ethical principle the advanced practice nurse could use in the decision-making process for a potentially lifesaving procedures of who should be saved first, who lives, and who dies regarding allocation of scarce resources during a pandemicstudent 1 TaylsenGood morning, Professor and class. I apologize for the previous format. Here is a corrected version. Thanks.Integrating Ethical Principles Advanced Practice Nurses Could Use in Potentially Life Saving SituationsThe International Council of Nurses delivered the first code of ethics, which was approved by the Council of National Representatives (CNR) on July 10, 1953. CNR represents the organization deliberative entity, with bi-yearly meetings in different parts of the world to address ethical principles, perform necessary updates, and delve deep into reflections pertaining ethical codes in nursing (Oguisso et al., 2019). Like mentioned, bi-yearly reunions allow this body of deliberation to identify submerging issues in the ethics of nursing. Nevertheless, the ethical responsibilities in nursing have remained relatively constant thorough the years. The attached study provides a list with the content of the first International Code of Ethics for Nurses, with the three main responsibilities topping the list: “to preserve life, to alleviate suffering and to promote health” (Oguisso et al., 2019, p. 6). In life saving situations, nurses are mainly driven by principles concerning the preservation of life. The devastating effects of the pandemic certainly placed nurses in very difficult situations regarding decision-making of who should be saved first, who lives or dies given the lack of resources worldwide. For this reason, different factors are to be examined that would not impede the nurses’ adherence to ethical principles. A key factor refers to the availability and management of human resources because, given the adequate access of these means, minimization of the problem concerning a health care crisis where nurses are forced to withdraw care form the mostly ill and poorly prognosed is possible. “Failure to provide sufficient resources may compromise the right to healthcare, especially the right of critically ill patients in a situation like that caused by COVID-19” (Falcó et al., 2021, p.183).Who Gets to Live When Allocating Scarce Resources?A crucial factor in making tough life or death decisions during a pandemic with scarce resources are directly correlated to ethical principles of beneficence and respect for autonomy. Patients who needed to be admitted to the ICU, for instance, had to be extensively reviewed by the interdisciplinary team (the advanced nurse included) in order to make a decision whether to transfer the patient or let them go. This posed a huge challenge for healthcare professionals given the lack of knowledge of the disease, the lack of knowledge (oftentimes) of the patient’ wishes and the level of uncertainty associated with the complications caused by the virus. Criteria such as age, past medical history and fragility were all part of the guidelines to follow when confronted with ambiguous situations (Falcó et al., 2021). As a result, patients who were younger, lack comorbidities and had a better prognosis were more likely to survive because, for them, ventilators and the use of certain medications were available. Nurses had to stick to the guidelines provided by scientific societies and official organizations in order to label these patients based on acuity. Research shows that, when allocating scarce resources between two critically ill patients, triage policies aim to allocate to the individual with the best chances of survival (Buckwalter & Peterson, 2020). Again, the ethical principle of life preservation is clearly demonstrated here, ultimately aiming for the greater good, although it can be very saddening for the families of those with no chance of survival.ReferencesBuckwalter, W., & Peterson, A. (2020). Public attitudes toward allocating scarce resources in the COVID-19 pandemic. Plos One, 15(11), 1–20.https://doi.org/10.1371/journal.pone.0240651 (Links to an external site.)Falcó, P. A., Zuriguel, P. E., Via, C. G., Bosch, A. A., & Bonetti, L. (2021). Ethical conflict during COVID‐19 pandemic: The case of Spanish and Italian intensive care units. International Nursing Review, 68(2), 181–188.https://doi.org/10.1111/inr.12645 (Links to an external site.)Oguisso, T., Hiromi-Takashi, M., Fernandes de Freitas, G., Barrionuevo-Bonini, B., & Araújo da Silva, T. (2019). First international code of ethics for nurses. Texto & Contexto Enfermagem, 28, 1–11.https://doi.org/10.1590/1980-265X-TCE-2018-0140student 2CatalinaGood afternoon class and professor,The four fundamental concepts of healthcare ethics are justice, autonomy, beneficence, and nonmaleficence. When selecting who should be saved first, who should live, and who should die in connection to the distribution of limited resources during a pandemic, advanced practice nurses may use the nursing ethical concept of justice. Justice is defined as the provision of appropriate, unbiased, and equitable care to all patients. Justice entails more than just equality; it entails treating patients according to specific requirements under specified circumstances, without regard for the patients’ income, rank, or race (Rooddehghan et al., 2019). By adding the ethical principle of justice, nurse practitioners can focus on prioritizing patient care and making timely decisions based on patients’ needs. Healthcare practitioners on the front lines of assisting people during pandemics face a variety of professional responsibilities that might lead to ethical quandaries—addressing ethical concerns when organizing treatment and preparing for pandemic work may be advantageous (Muñoz-Rubilar et al., 2022).ReferencesMuñoz-Rubilar, C. A., Carrillos, C. P., Mundal, I. P., Cuevas, C. D. L., & Lara-Cabrera, M. L. (2022, February 10). The duty to care and nurses’ well-being during a pandemic. Nursing Ethics, 29(3), 527–539. https://doi.org/10.1177/09697330211041746Rooddehghan, Z., Nikbakht nasrabadi, A., Parsa Yekta, Z., & Salehiparsa yekta, M. (2019, December 1). Patient favoritism as a barrier to justice in health care: A qualitative study. Health, Spirituality and Medical Ethics, 6(4), 29–35. https://doi.org/10.29252/jhsme.6.4.29

 
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In-service.

Course Competencies:Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.Outline the importance of advocating for older adults in management of their care.Your supervisor provided some valuable feedback in response to your outline! They are excited to see the PowerPoint slideshow you are creating for your topic’s in-service training. Having developed a number of presentations for in-services, your supervisor offered the following advice:”When developing a slideshow, it’s important to be mindful of how you layout your content. For an in-service presentation, the slides should present key points, be arranged logically, without extraneous information contributing to a cluttered look. The audience should get a lot of the content from listening to what you say, not just from reading the slides. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details that you want to provide without overloading the slides.”Your supervisor wants you to work from your outline and prepare a visually appealing PowerPoint slideshow for the in-service presentation. They said it should:Have a title slide.Contain 6-10 content slides pertaining to the important content areas for your presentation topic.Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the slides. (The Speaker Notes will contain the text that will guide what you say while presenting the slides.)Be written using proper spelling/grammar.Cite at least 2 credible references and present the sources in APA format on a References slide.For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.Tip:Writing Guide: PowerPointsPowerPoint FAQPowerPoint & APA: citing sources and creating reference lists in PPT presentationsHow do I add Speaker Notes to my PowerPoint presentation slides?

 
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Health assignment

I have to create a fake patient and do an assessment on itNeeds to be APA format with resources5-6 pagesrequirement & example is down below

 
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NR514 & NR534

I need the attached discussion questions answered in 200 words each. Please attach the pictures requested and the Spreadsheet where it is requested.

 
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Nutrition

Our nutrition and eating patterns are shaped by our perceptions of food; what we have learned to like and dislike, what we feel is healthful, and it is even formed by our family, cultural, and religious beliefs.In addition to explaining why you don’t like the five foods/liquids, also include what it would take (if possible) for you to overcome your dislike of the food/liquid.For this discussion, list five foods/liquids you like and five foods/liquids you don’t like and/or avoid. For each you like, describe why you like them. For example, you might say I like to eat chocolate chip cookies because they remind me of my grandmother.For the five you do not like to eat/avoid, explain why. For example, you might say I don’t eat lima beans because they taste too mushy in my mouth or I don’t drink milk because I am lactose intolerant, or I don’t eat beef because of religious beliefs.

 
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Topic 2 q1

With the growing importance of increasing wage rates for employees, many health care organizations are implementing technology such as self-help kiosks to reduce staffing. Describe both an advantage and a disadvantage to this practice and discuss how patients may perceive reductions in dedicated staffing.

 
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Risk management Program

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

 
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Case Study:

A 16-year-old arrived at a local family planning clinic with pregnancy concerns due to unprotected intercourse. This encounter occurred two nights prior, and she believes she may be fertile but wants information regarding the “morning-after pill”.

 
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Pathophysiology, Nursing Role transition, Biology and Facilitative Communication and Helping Skills (Due 20 and 40 hours)

Parts 4 and 5   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts 6 and 7   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 12 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.The number of words in each paragraph should be similarPart 1: minimum  2 pages and one paragraphPart 2: minimum  4 pages and two paragraphs (40 hours)Part 3: minimum  2 pagesPart 4: minimum  1 pagePart 5: minimum  1 pagePart 6: minimum  1 pagePart 7: minimum  1 pageSubmit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarMust be written in the 3 personAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted responses are not acceptedDon’t write in the first personDo not use subtitles or titlesDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowedPart 1:  Minimum 6 references (3 references per case)  (APA format) per part not older than 5 years  (Journals, books) (No websites).Part 2:  Minimum 6 references (APA format) per part not older than 5 years  (Journals, books) (No websites)Parts 4 and 5:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________The number of words in each paragraph should be similarPart 1: PathophysiologyCase 1: Integumentary FunctionK.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.1. Name the most common triggers for psoriasis and explain the different clinical types (One paragraph)2. There are several types of treatments for psoriasis (One paragraph)a. Explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B.b. Also include non-pharmacological options and recommendations.3. A medication review and reconciliation are always important in all patient (One paragraph)a. Describe and specify why in this particular case is important to know what medications the patient is taking?4. What others manifestation could present a patient with Psoriasis? (One paragraph)Case 2: Sensory FunctionC.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.5. Based on the clinical manifestations presented on the case above (One paragraph)a. Which would be your eyes diagnosis for C.J (Explain the diagnosis and document your rational)6. With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not. (One paragraph)7. Based on your answer to the previous question regarding the etiology of the eye affection (One paragraph)a. Which would be the best therapeutic approach to C.J problem.The number of words in each paragraph should be similarPart 2: Pathophysiology (40 hours)Topic: Coronary Artery Disease (CAD)Population: Elderly1. Description (what is) (One paragraph)2. Incidence (One paragraph)a. Globalb. National3. Prevalence (One paragraph)a. Globalb. National4. Pathophysiology to the cellular level (One paragraph)5. Assessment (Two paragraphs)a. Signb. Symptomsc. T3st and 3xams6. Care/treatment (Two paragraphs)a. Pharmacologyb. Non-pharmacology7. Influence (specific) (One paragraph)a. Geneticsb. Genomics8. Patient education for management (Two paragraphs)a. Stylelifeb. Dietc. Physical activity9. Considerations for education and care  (Two paragraphs)a. Culturalb. Spiritual10. Reflection for advanced practice nurses (APNs)  (One paragraph)The number of words in each paragraph should be similarPart 3: Nursing Role transition1. What is the quality of care delivered (One paragraph)2. What is the relationship between quality of care delivered and APNs (One paragraph)3. How to measure and monitor the quality of care delivered (Two paragraphs)4. How to measure and monitor the outcomes achieved by an Advanced Practice Nurse. (Two paragraphs)Parts 4 and 5   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarPart 4: Biology (Four paragraphs per page)Topic: Invertebrates1. What is photosynthesisa. Describe the ways animals can acquire energy.2. Do all animals acquire energy by consuming other organisms? Explain3. Read the two articles provided below- https://www.livescience.com/6030-surprising-sea-slug-plant-animal.html- See file attacheda.  Discuss if the invertebrates in question can, in fact, perform photosynthesis.4. Are there other examples of kleptoplasty in the animal kingdom?Part 5: Biology (Four paragraphs per page)Topic: Invertebrates1. What is photosynthesisa. Describe the ways animals can acquire energy.2. Do all animals acquire energy by consuming other organisms? Explain3. Read the two articles provided below- https://www.livescience.com/6030-surprising-sea-slug-plant-animal.html- See file attached (File 1)a.  Discuss if the invertebrates in question can, in fact, perform photosynthesis.4. Are there other examples of kleptoplasty in the animal kingdom?Parts 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarPart 6: Facilitative Communication and Helping Skills (Five paragraphs per page)Topic: Topic: Beginning and Ending a Counseling SessionYou have learned the importance of preparing for and appropriately beginning meetings with clients because effective engagement with clients starts in the first few minutes. Part of that initial process will be explaining that you see the clients as the experts on their life. You as practitioner will learn from them. Another essential part of beginning a first meeting is explaining elements of confidentiality. How to appropriately close a meeting was also covered.1. Give an example of how you might open an initial meeting with an individual and witha. A group.2. Name in a paragraph the important elements to include when you open a meeting with a new group or client.3. Summarize the important elements of confidentiality in working with clients.4. What is the most important thing to cover when it comes to discussing confidentiality with minors?5. Give an example of how you might close a meeting.Part 7: Facilitative Communication and Helping Skills (Five paragraphs per page)Topic: Topic: Beginning and Ending a Counseling SessionYou have learned the importance of preparing for and appropriately beginning meetings with clients because effective engagement with clients starts in the first few minutes. Part of that initial process will be explaining that you see the clients as the experts on their life. You as practitioner will learn from them. Another essential part of beginning a first meeting is explaining elements of confidentiality. How to appropriately close a meeting was also covered.1. Give an example of how you might open an initial meeting with an individual and witha. A group.2. Name in a paragraph the important elements to include when you open a meeting with a new group or client.3. Summarize the important elements of confidentiality in working with clients.4. What is the most important thing to cover when it comes to discussing confidentiality with minors?5. Give an example of how you might close a meeting.

 
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W9 KC

ONE PARAGRAPH FOR EACH QUESTION WITH 2 SUPPORTING PEER REVIEWED REFERENCES!Be sure to provide 2 APA citations of the supporting evidence- based peer reviewed articles you selected to support your thinking.Make sure to ANSWER EACH QUESTION ACCURATELY.(Please review attachments)Please do not plagiarize nor reword another persons assignment that has been previously submitted.Look at the attachment for the assignment and SOURCES to NOT USE!!!DO NOT turn in late, please pay attention to the DUE DATE

 
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