PICOT Statement Paper and Literature Evaluation Table

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
Title pageIntroduction sectionA comparison of research questionsA comparison of sample populationsA comparison of the limitations of the studyA conclusion section, incorporating recommendations for further researchPrepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite.

 

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What is the variance for the dataset?

Counts of number of health center visits at CSULA for allergy related symptoms were collected form a Show more Counts of number of health center visits at CSULA for allergy related symptoms were collected form a random sample of students for the spring 2015 quarter produced the following dataset. Allergy-related health center visits 01234 Number of studnets 60 29 18 9 4
a) What is the sample size or frequency of the dataset?
b) What is the mean of the dataset? Provide your answer to two decimal places.
c) What is the variance for the dataset? Provide your answer to two decimal places.
d) What is the Standard deviation for the dataset? Provide your answer to two decimal places. Show less

 

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What are the objectives of workers compensation laws

What are the objectives of workers compensation laws
Workers compensation laws are laws for workers and they are implemented by the government to prevent any form of ill treatment by the employing bodies. These laws aim to achieve protection of employees. These laws do not cover military officers. The laws entail insurance programs that are meant to offer compensation to employees if injured in the course of their duty. The laws also cover cases whereby the employee dies in line of duty (Chaikind 2004).
There are various objectives of these laws. This includes the need to provide direct medical and rehabilitation benefits to workers who are injured or suffer illnesses attributable to the nature of their job. Secondly the employee is assured of immediate medical attention once he or she is injured. Thirdly the employer-employee interest in the work place is promoted. Fourth the laws provide a single remedy that reduces the amount of court litigation where cases of personal injury are handled before they are taken to court. This minimizes the fees that lawyers are paid to handle employee compensation related issues. It further enhances in-depth investigation on causes of accidents and solutions to reduce accidents (Bennett-Alexander & Hartman 2007).
Workers compensation laws create a situation whereby the employer has various obligations that must be observed. The employer is supposed to contract insurance cover for the employees. Failure to observe the said obligation leads to penalties. The penalties include fines criminal prosecution and personal liability to the employer when an employee is injured (Chaikind 2004).
Claims under workers compensation are processed by the employer. The employer under workers compensation has a duty to observe confidentiality of the reports that he or she handles. The processing of personal injuries by the employee requires offering confidential details to the employer and this is not supposed to be exposed to third parties. This confidentiality can be enhanced by ensuring that all claim processing documents are in safe custody (Chaikind 2004).
2-What are the components of the Health Insurance Portability and Accountability Act (HIPAA) of 1996?
The HIPAA of 1996 has various components. This includes a set standard of electronic transmission that enhances free transactions of both administrative and financial nature. In addition health care identifiers for employers are also incorporated in the health care plans. Lastly the Act entails privacy and security standards geared towards providing confidentiality and integrity of health information that reaches the hands of employers. There are mandatory requirements set out in contracts that are mainly meant to protect the privacy of employees. The mentioned regulations are implemented by government agencies. Any breach on the said regulations is highly punishable.
The penalties imposed on employers for non compliance are extremely hefty for employers under the Health Insurance Portability and Accountability Act of 1996. The legislation imposes heavy civil and criminal regulations for any form of non compliance. The United States Department of Justice enhances the implementation of the said penalties. The said Act tends to protect the employee more than the employer and the legislations are silent on the employers rights. It is unfair for the legislation to be one sided since employers are also entitled to similar protection of the law (Bennett-Alexander & Hartman 2007).
3-What legal considerations must be made as you design your employee testing policies
In designing employees testing policies there are many legal requirements that are supposed to be observed. The general information that covers wages discrimination and the termination of employment is very essential to understand. This requires a clear knowledge of what an employee in such a situation is supposed to do and what he or she should not do. The legal issues related to hiring contracts and importantly workers compensation laws. The time that an employee should work and regulations are based on the information of the employee in a situation whereby compensation claims are made. Maintaining of integrity when dealing with such information is emphasized and the laws governing such conduct should be considered (Chaikind 2004).
A streamlined health identifier is also necessary for a reliable testing policy program. These regulations ensure that administrative processes are accurate and costs associated with treating the employees are cut. The relationship between the policy designed and its working is based on the fact the information offered ought to be accurate. Any testing program based on clear information guidelines on health serves the employer in catering for anticipated incidents. The test policy must all material times be non discriminatory whereby the policies identified cut across all employees or potential employees. The rules that are to operate at a given time may require that employees be subjected to the test. The implementation of the Workers Compensation laws is very important in establishing the validity of a certain policy (Chaikind 2004).
In designing the policy a prudent ought to ensure that the legislations for the protection of the employer and the employee are taken into consideration. An insurance cover for any uncertainties that may occur in the future is a very essential step (Bennett-Alexander & Hartman 2007).

 

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What are the advantages of a hierarchy?

PROJECT: PRE-LESSON ACTIVITY CONTINUED
Assignment DirectionsMake sure you write at least one paragraph for each question.Please make sure that your answers are correct. You may look back in the lesson for help answering the questions. Please do not copy the answers from the lesson; give your opinions and use original words and examples.What is a hierarchy?Where are hierarchies found?What are the advantages of a hierarchy?What are the disadvantages of a hierarchy?Provide an example of a hierarchy that might be found in a health care setting.After you have worked through answering the questions again compare your initial pre-activity answers to your current answers. Write a reflective summary of at least 250 words what you found. Your summary must include:How were your pre-lesson and post-lesson answers similar?How were your pre-lesson and post-lesson answers different?What did you learn from the lesson?How can you use what you have learned if you pursue a health care career?
PROJECT: RESEARCH HEALTH CARE TEAMS
Assignment DirectionsResearch and Learn: Health Care TeamsResearch these two types of teams:Transplant teamsCancer care teamsAfter you find at least three reliable references write a 500 word description that includes:Discuss each type of team and the roles the members play in each.Compare how the two teams are alike and contrast how the two teams are different.Discuss the advantages of each team.Discuss the disadvantages of each team.
PROJECT: STRATEGIES FOR EFFECTIVE COMMUNICATION
In the lesson there is a chart of strategies for effective communication. You will use this chart to complete your assignment. Select eight of the strategies. For four of the strategies describe a situation where a team member models effective communication. For the other four strategies describe a situation where a team member exhibits a breakdown in communication. Each scenario must be at least one paragraph in length.For example: If the strategy was to always greet a patient in a positive and friendly way we could describe a situation where a health care worker modeled this behavior or a situation where a health care worker did not act appropriately.
After you complete your scenarios do some research online or in the library. Find at least two more strategies for effective communication. Provide an example of ineffective communication and effective communication related to each strategy. Discuss why you selected each strategy and how you think each strategy can be useful in effective communication. Make sure that you select strategies that were not mentioned in the chart or used as an example in the lesson.
PROJECT: MIND MAP OF THE THREE TYPES OF COMMUNICATION
Assignment DirectionsAfter completing the lesson you will make a mind map that illustrates the three types of communication barriers to each type of communication and ways to overcome each barrier. Select the barriers that you feel are the most important or common. Select the solutions that you feel are the most useful and practical.Your mind map must include:All three types of communication with an explanationAt least three barriers to each type of communicationAt least two solutions to each barrier

 

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Describe how the principles apply to the facts in the scenario

CASE STUDY
In your future role as a health care professional you will be faced with complex and challenging situations. There will at times be a legal solution that can be applied to the situation and it is important that you are aware of what this might be so that you can confidently practice within these legal boundaries. Almost always there will be differing ethical positions that need to be considered. The purpose of this case study is to provide you with the skills to identify a legal issue including the possible outcomes and consider why an ethical conflict arises.The case study will assess all of the learning outcomes in 2972NRS. You have been provided with a contemporary health law case study. It is based on a real life situation and reflects some of the diverse and challenging issues that can arise within the provision of any health care service. You are required to identify and discuss the legal and ethical issues presented in this scenario.
You are expected to submit your case study with appropriate grammar spelling sentences paragraphs and references. It should be structured using the following headings:IntroductionLegal IssuesEthical IssuesConclusionReferencesReferencing: APA 6th EdWord Limit: 1500 words (excluding references)Assignment Weight: 30%
Introduction
A short introductory paragraph that outlines what you will be presenting in your case report.You do not need to include a detailed account of the facts in the scenario; this will use up word unnecessarily and the markers are aware of the facts.Legal IssuesIdentify and discuss the legal issues raised by the facts in the case study. This requires you to:Consider the facts and identify the main legal issueIdentify who could bring an action and what type of action that would beIdentify the elements that would need to be proved for the action to be successfulDescribe the standard of proof that would be required for the action to be successful and who bears the burden of proofDescribe any possible defences that could be raised and who would raise them.Outline the possible outcomes could eventuateEthical IssuesReferring to the Universal Declaration on Bioethics and Human Rights:Identify the principles that are relevantDescribe how the principles apply to the facts in the scenarioDescribe where a conflict may arise. This may be a conflict between two different principles or a conflict between different parties involved in the scenario.Describe what steps might be required to address any conflict.ConclusionA short concluding paragraph that brings it all together.
CASE STUDY SCENARIO
Bruce is a 69 year old retired gentleman. He lives at home with his wife Betty and together they have three adult children. Bruce is a Vietnam veteran and as a consequence of his active duty during the war he has developed severe post-traumatic stress disorder and depression. He suffers with hypertension and hypercholesterolemia but has repeatedly declined any treatment for any of these conditions. Bruce also has a lump on the right underside of his chin that is about the size of a golf ball. Bruces wife reports that this lump had been present for many months but despite the fact that it has turned into an open wound with an offensive exudate Bruce had refuses to seek treatment for it.
In recent weeks Bruce has developed symptoms suggestive of an infective illness. He has complained of generalised malaise muscle aches and pains and an elevated temperature with occasional rigors. Despite the best efforts of Betty and the children Bruce has refused to seek medical attention for these symptoms even as his condition deteriorated.Eventually Bruce became so weak and dehydrated that he was no longer able to refuse Bettys efforts to have him see a doctor; with the assistance of their children Betty manoeuvred him into the car and took him to hospital. On admission to the hospital Bruce was noted to be hypotensive tachycardic and febrile. His level of consciousness fluctuated and was often only minimally responsive. Concerned that he may not be able to adequately protect his airway Bruce was transferred to the high dependency unit where he could be closely monitored. Bruce was diagnosed with septicaemia resulting from the open wound under his chin.
After a series of investigations it was determined that the infected lump under Bruces chin was a malignant tumour. The team caring for Bruce formed the opinion that surgery to remove the tumour was the most appropriate course of action. The surgeon who was to perform the operation sought Bruces consent for the operation. Bruces fluctuating level of consciousness made this quite difficult although in a moment of lucidity he clearly stated I dont want any operations Id rather die. Shortly after this with Bettys consent the surgery went ahead and the entire tumour was successfully removed. Bruces post-operative recovery was relatively uneventful and his sepsis resolved. However he was left with a very large and disfiguring scar and some ongoing difficulties with swallowing. When he was eventually discharged home Bruce became increasingly angry that he had been operated on without his consent. Bruce now wishes to sue the surgeon who performed the operation.Criteria ExcellentVery goodSoundPoorVery poorIdentifies and Discusses Relevant Legal Issues40 marks 40-33 32-25 24-16 15-8 7-0Correctly identifies the main legal issue in the scenario.Correctly identifies who could bring an action and what type of action that would be.Correctly identifies all of the elements that need to be proved for the action to be successful.Correctly describes the standard of proof that would apply and who has the burden of proof.Correctly describes all possible defences that could be raised and who would raise them.Demonstrates an excellent understanding of possible outcomes that could eventuate.Identifies a relevant legal issue in the scenarioIdentifies who could bring an action and what type of action that would be.Identifies the elements that need to be proved for the action to be successful.Describes the standard of proof and who has the burden of proof.Describes any possible defences that could be raised and who would raise them.Demonstrates a good understanding of possible outcomes that could eventuate. Attempts to identify a relevant legal issue in the scenarioAttempts to identify who could bring an action and/or what type of action that would beAttempts to identify the elements that need to be proved.Attempts to describe the standard of proofAttempts to describe any possible defences that could be raised and who would raise themDemonstrates a sound understanding of the possible outcomes that could eventuate. The report identifies an incorrect or irrelevant legal issueIncorrectly identifies who could bring an action and/or what type of action that would be.Incorrectly identifies the elements needed to be proved.Incorrectly describes the standard of proofIncorrectly describes any possible defences that could be raised and/or who would raise them.Demonstrates limited understanding of the possible outcomes that could eventuate. The report does not identify a legal issue.Does not identify who could bring an action and/or what type of action that would be.Does not identify the elements that need to be proved.Does not describe the standard of proof.Does not describe any possible defences.Demonstrate very poor or no understanding of the possible outcomes that could eventuate.Identifies and Discusses Relevant Ethical Issues30 marks 30-25 24-19 18-12 11-6 5-0
Using the Universal Declaration on Bioethics and Human Rights the report accurately identifies the relevant principles.Clearly describes how they apply to the facts of the scenario.Clearly describes where a conflict may arise and how it may be addressed. The report accurately identifies most of the relevant principles and describes how they apply to the facts in the scenario.Describes where a conflict may arise and how it may be addressed The report identifies some of the relevant principles and attempts to describe how they apply to the facts in the scenario.Attempt to describe where a conflict may arise and/or how it may be addressed The report has made some attempt at identifying the relevant ethical principles.Minimal attempt at describing how they apply to the facts. Limited description of where a conflict may arise and/or how it may be addressed The report fails to identify the relevant ethical principles. Limited or no discussion of why a conflict may ariseAcademic Writing15 marks 15-13 12-10 9-7 6-4 3-0
Clear extremely well structured and written with few or no grammatical or spelling errors. Correct use of punctuation. Generally well structured and written with occasional grammatical or spelling errors. Mostly correct use of punctuation. Soundly structured but writing is unclear in places with occasional grammatical or spelling errors. Punctuation needs attention Generally poorly structured and written. Many grammatical and/or spelling errors that detract from the flow of the report Very poorly written and structured. Frequent errors.Research and Referencing15 marks 15-13 12-10 9-7 6-4 3-0Literature appropriate; Has mainly sourced a own literature; referencing correct Literature appropriate; used literature supplied in course and a few additionally sourced literature; minor referencing errors Literature mostly appropriate; Has used literature supplied in course; some referencing error Some literature cited; some attempt at referencing but several errors Minimal literature cited; minimal attempt at referencing with frequent errors
TOTAL
Tips for constructing the case studyYour case study should contain five separate sections.1. Introduction2. Legal Issues3. Ethical Issues4. Conclusion5. References
Introduction
A short paragraph that directs the readers to what you will discuss in your report. You can introduce the main legal and ethical issues you are going to discuss.It will also be important to identify the relevant stakeholders in the scenario that you have selected. Stakeholders could include:PatientsFamily membersHealthcare professionalsA particular group in societyAny others you consider relevantHaving a clear idea of who the relevant stakeholders are will make it easier for you to discuss the legal and ethical issues.
Legal IssueBegin by asking yourself what controversy is present? This will help you to state the legal problem presented by the facts.What law will apply? The law for the issue will require you to identify the elements that must be proved. Also consider:Who bears the onus of proofWhat the standard of proof isWhat possible defences could be raisedWhat outcomes are possible.Finally after you have stated what the law is dont forget to apply the law to the particular facts in the scenario and reach a conclusion.Identifies and Discusses Relevant Legal Issue40 percent
Correctly identifies the main legal issue in the scenario.Correctly identifies who could bring an action and what type of action that would be.Correctly identifies all of the elements that need to be proved for the action to be successful.Correctly describes the standard of proof that would apply and who has the burden of proof.Correctly describes all possible defences that could be raised and who would raise them.Demonstrates an excellent understanding of possible outcomes that could eventuateEthical IssuesRemember that ethical issues arise when there is a conflict of values. Consider the position of each of the relevant stakeholders to see where these conflict might ariseThe Universal Declaration on Bioethics and Human Rights provides a sound framework for highlighting the principles that could be applied to the issueThe ethical decision making framework discussed in the lecture (and tutorial) could be used to help address the conflictIdentifies and Discusses Relevant Ethical Issues30 marksUsing the Universal Declaration on Bioethics and Human Rights the report accurately identifies the relevant principles.Clearly describes how they apply to the facts of the scenario.Clearly describes where a conflict may arise and how it may be addressed.ConclusionIn bringing it all together provide a brief summary of the legal and ethical issues that you have identified.Any final conclusions that could be drawn based on the information you have provided in the body of the report.Follow the formatting guidelines in the School of Nursing and Midwifery Writing and Referencing GuideAcademic Writing15 marksClear extremely well structured and written with few or no grammatical or spelling errors. Correct use of punctuation.Get someone else to proof read.Get someone who does not know the subject to read it and provide feedback on clarity.Research and Referencing15 marksLiterature appropriate;Has mainly sourced a own literature;Referencing correcthttps://sites.google.com/a/griffith.edu.au/nursing-writing-and-referencing-guide/apa-referencing-guidelinesWhat does that Mean?There is help availableNursing and Midwifery Writing and Referencing Guidehttps://sites.google.com/a/griffith.edu.au/nursing-writing-and-referencing-guide/home
EXAMPLE CASE STUDY
INTRODUCTION
Sterilisation procedures for intellectually disabled young girls occupies a perplexing position in the Australian legal landscape (Naik 2012a). Regulated rather than prohibited procedures for consent of sterilisation are open to interpretation with conflicts arising between medical and legal outcomes across all states (Parker 2013). Sterilisation involves a permanent irreversible procedure rendering reproduction futile (Brady and Grover 1997). This case study will identify legal issues including the notion of consent and ethical issues encompassing the Universal Declaration on Bioethics and Human Rights in the case of Re Angela [2010] 43 Fam LR 98. Key stakeholders will be identified including parents medical practitioners Queensland Health Family Law Courts and Guardianship Tribunals to determine if breaches of human rights and the law have been made.
LEGAL ISSUES
Within Australia consent is required prior to commencement of medical procedures (Brady and Grover 1997). Consent can be implied verbal or written however it is only valid when given freely and voluntarily having received information in broad terms and the person has legal capacity to make decisions specific to the procedure being undertaken (Forrester and Griffiths 2011). Following a seminal High Court decision in Secretary Department of Health and Community Services (NT) v JWB and SMB (Marions Case) (1992) 175 CLR 218 the notion of consent for minors is determined by satisfying one of three procedural pathways (Chapter 5A Guardianship and Administrations Act 2000). The first pathway identifies that children must satisfy the notion of comprehension and understanding referred to as Gillick competence (Naik 2012a). Gillick competence is achieved when a child possesses the emotional and cognitive ability to make decisions autonomously regarding the sterilisation procedure and is subsequently able to provide informed consent prior to the commencement (Forrester and Griffiths 2011).In Re Angela (2010) Justice Cronin determined Angela was Gillick incompetent therefore unable to provide valid consent for sterilisation given her emotional immaturity and inability to communicate resulting from her intellectual disability. Without Angela possessing Gillick competence the proposed sterilisation procedure falls within the parental power to consent (Family Law Act 1975 (Cth)) giving parents authority to act in the childs benefit for therapeutic sterilisations (Marions Case 1992). Therapeutic sterilisations are described where permanent infertility is a by-product of surgery to treat malfunction or disease or a result of surgery performed to cure a disease or correct some malfunction (Naik 2012a). The Guardianship and Administrations Act 2000 (QLD) states that sterilisation does not include health care [s80B (2)] creating a division between therapeutic and non therapeutic procedures and the courts restriction of these terms.
Sterilisation procedures for menstrual management to treat epilepsy are deemed non therapeutic creating a legal issue in Re Angela as the procedure falls outside parental powers of consent (Naik 2012a). The removal of parental powers is further supported in P v P (1995) 126 FLR 245; 19 Fam LR 1 whereby the High Court reaffirmed the decision in Marions Case confirming the child was not suffering from any malfunction or disease therefore the treatment was outside parental power to consent and the decision rests with the court. Application to the Family Law Court (FCA) under Section 67ZC or the Queensland Civil and Administrative Tribunal (QCAT) is the final pathway for lawful sterilisation in the absence of Gillick competence or parental powers to consent. This provides the court with jurisdiction to make orders in relation to childrens welfare when satisfied that the procedure is in the best interests of the child (Guardianship and Administrations Act 2000 (QLD) s.80C s.80D).In Re Angela the FCA approved the application for sterilisation upon satisfying the best interest test with Justice Cronin acknowledging that a fundamental consideration is.the risks to Angelas life as well as her general well being and as a last resort given the exploration of all other available options as testified by her treating specialist (Re Angela 2010).
APPLICABLE LAW
State legislation and common law govern sterilisation of intellectually disabled children (Brady and Grover 1997). Without uniform legislation across all states inconsistencies on how laws are interpreted and applied by medical and legal practitioners are present (Naik 2012b). Western Australia Northern Territory Victoria and Australian Capital Territory are governed solely by common law in line with the seminal High Court decision in Marions Case however in Queensland and the remaining states common law works simultaneously with state legislation (Naik 2012c). When sterilisation procedures are unauthorised and without valid consent surgical intervention is an offence under both civil and criminal law (Naik 2012a).
In the absence of valid consent civil law actions of trespass to person or criminal law actions of assault arise by either direct interference with another person or the intention to touch was present (Forrester and Griffiths 2011). In accordance to Marions Case sterilisations for menstrual management are non therapeutic with the onus of proof resting with the plaintiff being Angela or her parents on the balance of probabilities to cast doubt over the therapeutic nature of her sterilisation (Naik 2012a). The defendants including medical practitioners and/or Queensland Health are at risk of committing an offence. If successful financial penalties may arise due to the extent and irreversible nature of this procedure (Naik 2012a).
Without being authorised justified or excused under criminal law a sterilisation procedure without consent is assault (Criminal Code 1899 (QLD) s.245 s.246). The burden of proof for assault rests with the prosecution generally the State to demonstrate that the defendant is guilty in front of a jury beyond reasonable doubt before a conviction is made (Forrester and Griffiths 2011). Creating a situation where the medical practitioner acted bona fide but possibly contrary to the law in addition to the parents involvement in procuring the sterilisation creates an unlikely environment for proceedings under criminal assault (Naik 2012c). Furthermore outcomes of this nature are costly and highly unlikely (Naik 2012c) with the defence arguing that the assault was authorised as the health care should be carried out urgently to meet imminent risk to the patients life (Queensland Guardianship and Administration Act 2000 63 (1bii)) which is consistent with Justice Cronins judgement in Angelas case.
ETHICAL CONFLICTS
What is the distinction between morally and ethically appropriate procedures and the law when Angela has no capacity (Re Angela 2010) and no voice to protect her human rights and dignity? Conflicts arise from the interpretation of therapeutic and non therapeutic sterilisations and the best interest test adopted by the FCA (Marions Case 1992). Graham Innes Australias federal disability discrimination commissioner urged criminalisation for any practitioner conducting such procedures unless deemed necessary for life saving circumstances (Rise in sterilisations worries disability commissioner 2012). Furthermore there is a growing need for Australia to abide by International Human Rights principles as globally sterilisation procedures are a denial of basic human rights reproductive rights autonomy bodily integrity respect for human vulnerability and discrimination (Brady Briton and Grover 2001).
BIOETHICAL FRAMEWORK
Women with Disabilities Australia (WWDA) (2012) identified that sterilisation in absence of free and informed consent is violating Australias obligations under international law and breaches every international human rights treaty to which Australia is a party. The Universal Declaration on Bioethics and Human Rights (UDBEHR) (2006) provides the bioethical framework adopted by the United Nations Educational Scientific and Cultural Organisation (UNESCO) by endorsing rules that govern human rights and freedom of all individuals. Strict adherence by key stakeholders in Re Angela including parents medical practitioners Queensland Health and FCA are reviewed. In Re Angela human dignity and human rights as described in Article three (UBDEHR 2006) have been met as Angelas welfare and quality of life were fundamental in the FCA decision to grant her sterilisation (Re Angela 2010). The sterilisation procedure was recommended as a last resort to control her epilepsy during menstruation and as such Article four (UBDEHR 2006) has been adhered too in reducing harm to Angela in the future. Whilst Angela lacks autonomy to make decisions procedural pathways for consent have been followed and subsequent consent was provided by the FCA for her sterilisation (Re Angela 2010).
In support of Article five and seven (UDBEHR 2006) this ensures that special measures were taken to protect her rights and best interest where she lacked capacity to do so. However Article seven (a) (UDBEHR 2006) further specifies where the person lacks capacity they should be involved to the greatest extent possible in the procedure and subsequent withdrawal of consent if necessary. Angelas intellectual disability precludes such involvement; therefore a breach of this article is identified. Article eleven (UDBEHR 2006) identifies that no individual or group is discriminated against on any grounds in violations of human rights and freedom.
WWDA (2012) identifies this as a fundamental breach being perpetuated by the lack of prohibition in Australia resulting in continued discrimination of intellectually disabled young woman a response supported by Federal disability commissioner Graham Inness concern about the increasing number of sterilisation procedures for intellectually disabled girls (Rise in sterilisations worries disability commissioner 2012). Advocating for the rights of the child the United Nations Committee recommends equal opportunity regardless of intellectual disability for all persons and argued for the introduction of the but for test (Naik 2012c). This test is designed to exclude sterilisation procedures as not in the childs best interest but for the intellectual disability (Naik 2012c). Whilst the but for test is supported by ethics groups (Naik 2012c) the Full Court in P v P disagreed acknowledging the disability was central jurisdiction for sterilisation. With widespread disagreement between law and ethics coupled with Angelas inability to provide consent breaches of Articles seven (a) and eleven (UDBEHR 2006) are identified.
ADDRESSING BIOETHICAL ISSUES
To address these violations future debates submission to senate committees and governments must identify and take into account the human rights social cultural and economic issues that impact the decision to sterilise young girls with intellectual disabilities (Senate. Committee Affairs Committee & Aus.Senate. Standing Committee on Community Affairs 2013). Importantly legislation and education programs must be based on human rights principles upholding the rights of all women to bodily integrity and making informed choices about their reproductive life whilst holding Australia to account of their international human rights obligations (WWDA 2012). Comprehensive national law reforms will formalise protection in the best interests of intellectually disabled girls (Naik 2012c).
CONCLUSION
Sterilisation of intellectually disabled girls has occupied the legal landscape for over thirty years since Marions case with the efficacy of such procedures and debate regarding basic human rights to bodily integrity continuing. Without uniform national legislation the state based guidelines for sterilisation will be subject to misinterpretation at law. Coupled with the absence of Australias support for global prohibition of unlawful sterilisations debate from disability human rights and advocacy groups will remain. Angelas case further highlights the significance of this topic however with exception of Article seven (a) and eleven adherence in the most part to the UNESCO bioethical framework has been achieved and breaches under current law have not been made.ReferencesThe reference list from this piece of work has deliberately been removed.You must include a reference list (APA 6th Format) with your submitted case studyPlease seehttps://sites.google.com/a/griffith.edu.au/nursing-writing-and-referencing-guide/

 

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NUR341 Healthy Ageing – nursing assignment tutor

Develop a discharge care plan for the case scenario
NUR341 Healthy Ageing 2015
Word Limit: 2000 words Assessment purpose Unit objective
The assignment will help you to:
? Understand the rationale for use of the ACAT assessments for discharge planning? Promote independence and quality end of life care through the engagement of community care supports? Understand the rational for use of palliative care services and advanced care directives? Prepare appropriate person centred care plan? Inclusion of family in care plan development? Develop and identify key factors for handover of careThis assessment address unit learning objective1- 6
Assessment 3 task: Using the case study scenario below map a person centred care plan and handover summary for the elderly patient being discharged from acute care to home to promote independence and quality end stage life.Scenario
Harold is a 68year old Indigenous man due for discharge at the end of the week from an acute medical ward following treatment for exacerbation of congestive heart failure (CHF) including oedema shortness of breath reduced appetite increased pain and lethargy .Harold has a past and current medical history (Mhx) of RHD CHF and coronary artery disease with angioplasty hypertension and type II diabetes.
Medications on admission: Digoxin Metoprolol Perindopril Frusemide Metformin Novomix 30 and Oxycontin.The medical team visit him on the morning ward rounds with you present. The team have identified the congestive heart failure has deteriorated to end stage and surgical intervention is not possible due to Harolds medical history comorbidities and continuous moderate use of tobacco and alcohol.
NUR341 Healthy Ageing 2015
Harold an Elder lives in a large remote community in the Northern Territory with his wife Trish adult children grandchildren and some nieces and nephews when needed. He has 3 adult children who all work fulltime to help provide food and necessities for the family. Harold and Trish care for the young children whilst the adults are at work all day but with Harolds ailing health his wife is caring for both him and the grandchildren.Harold is becoming increasingly frustrated with his hospital admissions and medication regime. He has stated to you he is sick and tired and just wants to die at home in community with his family.TaskNow that Harold has been diagnosed with End Stage Congestive Heart Failure you need to prepare for this discharge back to community.To ensure Harold is provided with the best care for this stage in his life you need to map Harolds care plan using the template attached. In your mapping you should consider Harolds physical mental social and emotional wellbeing. For each problem or issue you identify on the map you need to include a goal intervention rationale and evaluation.You will need to develop a summary of care for handover to the community for discharge. This will provide key factors and priorities identified in the care plan to promote Harolds independence and quality end stage life. You will need to provide justification for your priorities and key factors in your handover summary.Your handover and care plan mapping should include Harolds cultural identity.
NUR341 Healthy Ageing 2015
Preparation timely completion of study materials Module 7. Utilise your learning materials set text and library resources to research the assessment task topics.Presentation? NO introduction of topic and statement of intent required? Completed mapping of care plan on the template provided? Handover summary (between 500 1000 words) priority care needs to ensure quality end stage of life and cultural safety? NO conclusion necessary? Font 12pt Arial preferred 1.5 spacing? Ensure you have footer with page number and your student name and number? Please provide a title at the beginning of your essay (no title page required)? Dot points may be used in the mapping template onlyReferencing? References must be presented in CDU APA 6th Referencing Style? Reference where appropriate in the template and summary? No reference needed for own words or when referring to the case scenario.? References should be less than 10 years old.
NUR341 Healthy Ageing 2015
Unsatisfactory Limited Satisfactory Good Excellent Marks Mapping of Care Plan: Ability to interpret and address topic (10) Evidence of ability to map care plan for case scenario. Issues/problems identified are holistic and inclusive of cultural identify. Each issue/problem identified has an appropriate rationale intervention and evaluation clearly mapped. (0-2) Mapping of care plan is poor. Inability to identify holistic care issues/problems. Inability to present clear rationale intervention and evaluation to support quality end stage life. No inclusion of cultural identity. (3-4) Demonstrated limited ability to identify issues/problems and map a holistic care plan for the case scenario. Mostly descriptive with limited explanation rationale interventions or evaluations included. Cultural identity highlighted but not addressed. (5-6 Basic mapping of holistic care plan developed identifying primary issues/problems only. Basic interventions rationales and evaluations mapped. Some cultural identity elements included. (7-8) Proficient and holistic mapping of care plan inclusive of most issues/problems.
Demonstrates ability to critically analyse the case scenario and provide rationales interventions and evaluations which are achievable. Cultural identity addressed. (9-10) Demonstrates excellence in ability to develop a holistic care plan relevant to case scenario. Plan is inclusive of independence and quality end stage life provisions. Cultural identity is included in all aspects of the plan.
Summary for Handover: Ability to interpret and address topic (10) Evidence of ability to develop a summary of information for handover. Summary contains key aspects and priority of nursing care to ensure independence and quality end life care for the case scenario. (0-2) Poor or no summary of care plan for handover provided. (3-4) Summary of care plan is mostly descriptive or repetitive with no justification or priorities provided. (5-6) Basic summary of care plan provided for handover with minimal justification or priorities identified. (7-8) Summary for handover identifies key issues and priorities with a justification for elements in the plan. (9-10) Summary of handover information is clear and concise. Provides insight to case scenarios care pathway with key aspects and priorities clearly identified and justified.
Structure flow of information and written expression (5) Cohesive and logical presentation of information. Mapping presented on template. Ability to express ideas clearly. Quality of grammar spelling punctuation and syntax (sentence structure).(0-1)No template used. Poor attention to structure and logical sequencing and flow of information. Poor written expression that lacks clarity of ideas. Frequently incorrect spelling grammar punctuation and syntax.(2)Template provided with limited direction structure or logical sequencing and flow of information.Awkward written expression with limited ability to express ideas clearly. Insufficient attention to correct spelling grammar punctuation and syntax.(3)Template provided with generally satisfactory direction some attention to structure and logical sequencing and flow of information.Written expression and clarity of ideas is generally satisfactory.Spelling grammar punctuation and syntax need more consistency.(4)Template used to provide clear direction for the reader including clear structure with logical sequencing and flow of information.Written expression is clear able to express ideas readily. Consistent attention to correct spelling grammar punctuation and syntax.(5)Template used to provide excellent direction for the reader including excellent structure with logical sequencing and flow of information.Excellence demonstrated in expression of ideas. Excellent attention to correct spelling grammar punctuation and syntax.Researching and Referencing (5) Integrates ideas information and supporting evidence from appropriate resources; makes connections across selected sources that address the assignment task. Use of CDU APA 6th Referencing Style(0-1)No attention to referencing & citation conventions.Sources not relevant or pertinent to the topic. Numerous quotations used rather than interpreting meaning through paraphrasing.(2)Limited attention paid to referencing & citation.Limited evidence of comprehension of resources.Limited connections across selected resources in relation to the assignment task. Reliance on quotations used rather than interpreting meaning through paraphrasing.(3)Generally referencing citation conventions are followed with formatting errors. Developing comprehension of resources. Some connections across selected resources in relation to the assignment task. Some evidence of paraphrasing.(4)Referencing conventions and citations usually correct and consistent with few formatting errors.Proficient comprehension of resources with well-chosen connections across selected resources and the listed assignment task. Demonstrated competence in paraphrasing.(5)Exemplary referencing and citations. All conventions followed with no formatting errors.Insightful well considered comprehension of resources with insightful connections to address task. Demonstrated excellence in ability to paraphrase.Total out of 30NUR341 Healthy Ageing 2015

 

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Describe your strengths and weaknesses in relation to the Area 2 responsibility of health educators (planning health education) and explain why these represent strengths and weaknesses.

exploring Health Education in the 21st Century (Journal Entry week 3)Order DescriptionJournal: Area 2 Plan Health Education
This week you will focus on Area 2 of the Seven Areas of Responsibility for Health Educators. Before you journal your thoughts related to this area of responsibility reflect on how this area of responsibility may inform your personal and professional skills for health education practice.
Describe your strengths and weaknesses in relation to the Area 2 responsibility of health educators (planning health education) and explain why these represent strengths and weaknesses. Then identify potential opportunities for growth for this area of responsibility.
Explain steps that you might take to build your expertise in health education and for the development of competencies for your role as a health educator.
Explain how this area of responsibility might be reflected in your professional life.Submit your Journal Entry by Day 3.

 

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COUNSELING PSYCHOLOGY COMPREHENSIVE EXAMINATION – nursing assignment tutor

COUNSELING PSYCHOLOGY COMPREHENSIVE EXAMINATION
CASE VIGNETTE: Utilize this scenario as the basis for your responses to the prompts (listed following the vignette).Julie Lewis is a 72 year old African American woman. Three months ago Julie underwent back surgery to treat chronic back pain and numbness in her left leg. Julie decided to seek your counseling services because she is not bouncing back from the surgery the way she had expected. Julie describes having little energy and sleeping a lot since the surgery. She also frequently gets very upset when driving. She describes feeling nervous and very angry by how inconsiderate and dangerous other drivers behave to the extent that she often finds herself yelling and screaming at other cars when she is driving. On two occasions she has become so upset that she has turned around and gone home rather than complete her trip.
Julie is semi-retired and works 2 night shifts per week at a hospital as a psychiatric nurse. Since the surgery Julie finds working a 12 hour shift to be especially exhausting. She often spends the day after she works a night shift in her nightgown all day rather than getting dressed and leaving the house. She lives alone in a condo near the hospital where she works. Julie admits that she feels sad and lonely much of the time. She realizes that the amount of time she spends wishing that other people would do things the right way is not healthy but she also cannot seem to stop. She reports being on antidepressant medication off and on for most of her life. She had taken Wellbutrin for a number of years but she reports it stopped working about two years ago. She has recently begun taking Celexa.Julie has been divorced twice and has been single for approximately that past 15 years. She has three grown children two sons and a daughter. She describes having good relationships with her children but she also feels that her children have their own lives and she does not want to be a bother to them.
Julie describes both of her marriages as disasters. Julie was married to her first husband for almost 20 years and he is the father of her children. Her first husband had little consideration for Julies feelings and he had multiple affairs while they were married. Julie describes her second husband as a loser who depended on Julie financially and emotionally. While Julie had always known that he was a drinker he developed a problem with alcohol a few years into their marriage. Julie tried to put up with the substance abuse as long as she could but after 17 years of marriage Julie divorced her second husband. She has not spoken to her second husband in years and she has no idea where he is now.
Julie describes the family she grew up in as very strict and any affection in the family was given to her younger sister who according to Julie could do no wrong in their parents eyes. Julie on the other hand felt like she could not do anything right for her parents no matter how hard she tried. Julies family was very active in their conservative church while she was growing up but Julie now describes herself as an atheist. She does not have positive views about organized religion and she believes religion as a way to repress and control people.Directions:
Compose a well-written and organized essay in response to each of the following questions. When writing your response please:
1) Use the most current APA (6th edition) Style with 1-inch margin double-spaced 12 pt font with a reference list at the end.
2) Write clearly and concisely.
3) Cite appropriate and especially current literature (empirical and/or theoretical).
4) Avoid all sexist idioms and allusions.
5) Remember to demonstrate your multicultural competence where appropriate.
PROFESSIONAL PRACTICE
1. Assessment: What assessment would you conduct to enhance your understanding of the clients problems and how would they direct your diagnostic formation? In addition what formal assessment procedures (conducted either by you or by someone you would refer to) would enhance your understanding of the problems and direct your treatment planning? Why?
2. Diagnosis: Develop a differential diagnosis. What are your diagnostic considerations? Indicate why you are considering these possible diagnoses by providing specific evidence from the vignette. Be sure to include relevant information from the vignette to support your answer and give a 5-axis diagnosis (including use of V codes) at the end of this question. What additional information do you need for each of the possible diagnoses in order to confirm your diagnoses and rule out the others?
3. Theory Theoretical Conceptualization:
a. Using the diagnosis you developed above provide ONE theoretically grounded case conceptualization for the client based on the theory you choose for your treatment approach. In other words offer at least one theoretical explanation of what has caused the symptoms displayed by your client (why does your client have these symptoms?).
b. Develop a therapeutic treatment plan for the client based upon your theoretical conceptualization above. Please make sure you identify the name of the theory your treatment plan is based on using appropriate headings. Provide the empirical evidence with appropriate citations to support your choice of theory and the treatment plan that you are recommending for use with this client. Be sure to discuss the effectiveness and limitations in working with this particular client (including effectiveness/limitations in working with this particular clients background using the above theories and treatment plans).
INTERPERSONAL EFFECTIVENESS SELF-AWARENESS
4. What might be some of the transference and counter transference issues between you and the client? What are your areas of growth (what do you need to work on) that will be addressed while working with this client?ETHICSUsing an ethical decision making model answer the following
5. What are the ethical and legal dilemmas this vignette introduced? What would be your immediate steps and why? Please be specific and make sure that you describe your process of ethical decision making and the solutions/consequences this process might lead to.
DIVERSITY
6. Given the clients ethnicity and background what factors or cultural considerations would you take into account in rendering diagnoses case conceptualization and treatment planning? What other cultural factors may be salient for this client?
7. What are the relevant multicultural theories and/or models that you would use in working with this client? Discuss how you would incorporate them in your work.
RESEARCH VIGNETTE:
The director of the mental health agency that you work for has asked you to provide evidence of the value of the agencys services in order to help secure ongoing funding for the agency. The director has asked you to design a study to show the usefulness of the counseling services that the clients at the agency receive. The agency is located in a large urban area and serves primarily low-income individuals from a variety of racial and ethnic backgrounds.
Specifically the director has asked you to first find or develop a reliable and valid means of defining and measuring the benefits of counseling services for the agencys clients. Secondly after you have a means of measuring counseling benefits the director would like you to design a study to examine the level of benefits that your agencys counseling services provide in order to demonstrate those benefits to funding sources.
Directions:
Please compose a well-written and organized paper addressing each of the following points.Discussion Section:Implications multicultural sensitivity and ethical considerations.

 

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Develop one or more research questions (maximum 4) relevant to the National Health Priority Area – Mental Health using the PICO/T framework.

Internal Code: MAS 6070 cleanessays.com Question:
The purpose of this assignment is to explore the National Health Priority Area – Mental Health through a critical analysis of current research evidence for best nursing practice. In preparation for conducting a potential research project, prepare and write the first part a research report (Introduction, Background/literature review, Analysis and evaluation and Research questions and research methods). Read and evaluate 10-12 peer-reviewed articles reporting primary research on mental health issues within the Australian context.
From your research identify an issue, problem or gap in knowledge as identified from your articles that require further investigation into mental health within Australia. Develop one or more research questions (maximum 4) relevant to the National Health Priority Area – Mental Health using the PICO/T framework. The analysis of your research must relate to the five steps of the nursing process (assessment, analysis, planning, implementation, and evaluation) with the aim of improving nursing practice and/or patient outcomes in mental health within hospitals (public, private) and community settings (aged care facilities, Aboriginal Medical Services). Write three four sections of a report: Introduction, Background/literature review, Analysis and Evaluation and Research question and research methods. 16 total views, 2 views today

 

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Reflecting on the focus and content of this course (Research Methods for Healthcare), what is an important challenge facing management of health care organizations today, and how would you go about addressing it? Explain

For these discussions, I need between 150-200 words for each. Kindly separate each discussion according to their numbers.
Discussion 1
How will accomplishing research objectives support your success in management? What risks or challenges might a health care manager encounter if he or she has not mastered these objectives? Explain.
Discussion 2
Explain your proposed approach for conducting research necessary to develop quality deliverables and explain how the information gleaned will support your career development in health care management.
Discussion 3
Reflecting on the focus and content of this course (Research Methods for Healthcare), what is an important challenge facing management of health care organizations today, and how would you go about addressing it? Explain
Discussion 4
Collaboration leverages the collective knowledge of a health care team. Peer evaluation and support, provided in the spirit of continuous improvement and organizational success, result in higher quality deliverables than are generally possible by the efforts of an individual. Describe the process that you plan to use to conduct research, identify findings, and develop the Comprehensive Project due in Unit 5, and present a brief outline indicating how you intend to organize the project deliverable.NOTE: I will assign the project exclusively to you alone so that you know what the project is about.
Discussion 5
What competencies were you able to develop in researching and writing the Comprehensive Project due in Unit 5? How did you leverage feedback from your peers in the Discussion Board for Units 1–4 in completing the Project? How will these competencies and knowledge support your career advancement in management?NOTE: I will assign the project exclusively to you alone so that you know what the project is about.

 

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