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holistic adaptive system

Callista Roy and Betty Neuman’s theories view the person (individual, group, or community) as a holistic adaptive system that constantly interacts with the internal and external environments. Both theories view the person as being the center of nursing and present health/wellness and illness as parts of the same continuum, however there are some key assumptions that are different. As such, select one of the theories and identify 1 assumption of the theory and discuss how the care rendered for this patient by an advanced practice nurse would be structured (assessment, diagnosis, planning, intervention, evaluation) according to the theory. Give 2 specific examples of interventions that you anticipate will be included in the patient’s care. 

Mr. Reynolds is a 32 year-old male patient hospitalized on the orthopedic unit of the hospital. He is status-post motorcycle accident and right leg below the knee amputation. He has a history of Depression and Schizophrenia. He is currently separated from his wife and estranged from his family. He is awaiting social work for placement in a rehabilitation facility, where he will continue his recovery.

use: APA formate and pictures added

I need at least 2-3 references

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medical history

In this course project assignment, you are presented with a medical history for two different patients. A medical history can be fairly brief or extremely lengthy, depending on the patient’s health history. Basic components of a medical history generally include the following pieces of information:

  • Patient demographics: Includes name, date of birth, gender, race etc.
  • Chief complaint: Specifies the primary reason for the patient seeking care
  • History of present illness: Includes details of chief complaint in chronological order
  • Past medical history: Includes a list of current and past medical conditions
  • Family history: Includes pertinent diagnoses of close family members
  • Social history: Includes information about patient’s lifestyle and characteristics
  • Medication history: Includes list of current and prior medication use
  • Review of systems: Includes subjective findings from a head-to-toe examination
  • Physical examination: Includes objective findings from a head-to-toe examination

You will be exploring the medical terminology used in these medical histories and will be asked to interpret the meanings of various words and abbreviations.

To complete this assignment, do the following:

  1. Download the clinical notes for the two patients:

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Professional Ethics Codes

Moral Theories, Principles of Health Care Ethics, and Professional Ethics Codes

Ethics is a branch of philosophy devoted to the study of morality. Ethics has a long history of theories about determining right from wrong and identifying the principles of living a good life. For this assessment, you will be asked to apply foundational principles in ethics, such as autonomy and justice, in a relevant health care setting.

Each profession within health care has its own code of ethical behavior designed to help individuals within that profession to make sound ethical choices in carrying out the tasks and practices particular to their professional role. It may be useful to locate one or more relevant codes of ethics for your current or desired career path. This research will be beneficial to your professional development, and you will have a chance to apply it to the Tonya’s Case: Ethics and Professional Codes assessment in this course.

Autonomy, Truth-Telling, and Confidentiality

These are broad-ranging topics, which, if taken alone, seem almost comically simple. Of course, rational people of legal age should be able to make decisions concerning themselves and their minor children. Of course, medical professionals should be honest with patients, and, of course, patients should be honest with members of their health care teams. Of course, one’s medical issues should be kept private. But rarely are things as simple as they seem. Take some time to scratch beneath the surface, and we encounter myriad ethical dilemmas.

Honesty tends to be a revered trait in many cultures. However, many people admit to lying occasionally, especially if the intent is to spare someone pain, embarrassment, or anguish. Is lying to someone because of love, concern, or reputation ever ethical?

Privacy and confidentiality are also important concepts. But are there limits? Can the greater good ever outweigh the rights of individuals?

And at what point can others, whether an individual or an entity such as a government body, ethically determine someone’s actions, fate, or choices? Fluoridated water, smoking regulations, compulsory K–12 education, and speed limits are only a few examples of how we, as a society, agree to limited personal freedoms because these things are good for us.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Articulate ethical issues in health care.
    • Articulate the time-tested theories of ethics.
    • Describe the strengths and weaknesses of the time-tested theories of ethics.
  • Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
    • Identify the decision criteria of the time-tested theories of ethics.

Preparation

As you begin work on your Ethical Theories Matrix assessment, it may be helpful to review the suggested resources focused on moral and ethical considerations. For your own reference, you may want to briefly jot down your thoughts related to:

  • An inventory of the basic principles of health care ethics. These principles are nonmaleficence, beneficence, utility, distributive justice, and autonomy.
    • An explanation of each principle as well as your own example to illustrate the application of each.

Instructions

Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC].

  • For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
  • Then, provide your own example of how someone might act using the decision criteria of the theory.
  • Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.

The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.

This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.

Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded.

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Coding for Medical Necessity

Review the following lecture:

  • Coding for Medical Necessity

Introduction:

In order to properly code a bill for medical necessity, it is important to understand the electronic medical record. This record contains information about the patient’s health both before and after the treatment and has the data needed to assure a payer that the treatment was necessary.

Tasks:

  • Explain the contents of the medical record.
  • Describe SOAP notes—subjective, objective, assessment, and plan.
  • Explain operative reports function in medical necessity coding.
  • Explain National and Local coverage determinations.

Submission Details:

  • Submit the report as a 5- to 10-page Microsoft Word document. Use APA standards for citations and references.
  • Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as SU_HCM1201_W3_Project_LastName_FirstInitial.doc. Submit the report to the Submissions Area by the due date assigned.
  • Cite any sources using correct APA format on a separate page.

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Grand Nursing Theorist Assignment: CLC Group Project Agreement 

Topic: Overview of Nursing Theory #4

Grand Nursing Theorist Assignment: CLC Group Project Agreement 

Details:
This is a CLC assignment.

A four topic or stages and an outline is required

The purpose of this assignment is to have a clear understanding of the elements of a theory and to apply a theory to practice. The CLC group must use a grand theory or a high-level mid-range theory.

The group will create a report for a practice committee at a health care institution. The objective is to convince your peers of the value of using a specific theory to guide practice and evaluate care.

Since the text does not provide adequate information on any one theory for the purpose of this assignment, further research through nursing theory websites (general and specific), as well as theory texts specific to individual theories, will be required.

Begin the assignment by identifying a theorist and providing the rationale for the group’s selection.

Prepare this assignment according to the guidelines of APA Style Guide,

Plagiarism is Unacceptable

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Case study

Assignment:

Please create a Power Point to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

  1. What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
  2. Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

  1. Explore was happening in the United States during this time (culture, social, economics, struggles)
  2. What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
  3. What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

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high-acuity labor

Read chapter 5 of the class textbook and review the attached PowerPoint presentation.  Once done answer and/or develop the following answers;

1.  Madge is an intake nurse at high-acuity labor and delivery unit.  She is taking down information about a family’s birth plan and notice that the mother is accompanied by only another woman.  Write three paragraphs on the following issues;

                a.  Include cultural assessment technique to explore the family composition without offending the woman present.

                b.  Discuss the potential challenges lesbian couples may have in childbearing. 

                c.  What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room?  How might these

                      look in the future?

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The Case of the Missionary Health Care Worker in Africa

The Case of the Missionary Health Care Worker in Africa

Jenny, a twenty-two year old college graduate, has recently decided to spend two years as a missionary in a coastal African village. As part of her duties, she will work in the missionary clinic that has recently been established in the village. This clinic will provide routine medical care and a traveling physician and nurse will visit once each week. Jenny feels fortunate to have the opportunity to use the information that was presented to her in various classes she completed while in college. After completing a 4-month intensive training period (language classes, medical preparation for work in the clinic, and cultural enrichment), she departed for Africa.

Upon her arrival, Jenny found that she would be spending most of her time in the clinic since the village had been without routine medical care for the past 2 years. The previous clinic was closed due to flooding and insufficient funds to rebuild. Initially, Jenny found that she was very dependent upon the physician’s weekly visits since her training was limited. Gradually, she found that she was beginning to call upon her training (both clinical and classroom) and she felt comfortable diagnosing and treating some of the more routine cases. One morning, a mother came in with her five-year-old child. The mother reported that the child had been unable to eat or drink anything for the past day because of vomiting. In addition, her child was experiencing severe diarrhea. Jenny asked the mother if any other family members were exhibiting similar symptoms, to which the mother replied that a few other members of the family had similar symptoms, however, not as severe. Jenny’s first thought was that the symptoms were very similar to those she had exhibited following a bout of food poisoning while in college. Since the villagers had no refrigeration and poor sanitation, Jenny gave the mother an electrolyte solution containing glucose similar to Gatorade® and told the mother to have the affected children consume this solution and nothing else for the next 24 hours. After that time, if the children were no longer vomiting, she could start feeding them tea and broth. Jenny also cautioned the mother that if the children did not seem to be getting better after 24 hours to bring the children back to the clinic.

The next morning Jenny opened the clinic to find the mother, and not just the child she had seen the previous day, but three more of the woman’s children. All of the children were exhibiting similar symptoms that now included muscle cramping and excessive thirst in addition to diarrhea and vomiting. When checking the vital signs of the children, Jenny noticed increases in both the pulse and respiratory rates accompanied by decreased blood pressures. Uncertain as to the appropriate course of action, Jenny contacted the physician by radio. Upon conveying the histories and information to the physician, Jenny received instructions to keep the children at the clinic, start intravenous (IV) infusion with lactated Ringer’s solution, and allow the children to drink as much of the electrolyte solution with glucose as they would like. The physician also gave Jenny a list of laboratory tests to run on the blood, urine and stool samples that she should collect. Jenny started the IV infusions and gave each child some of the electrolyte solution. After this, she obtained stool, blood and urine samples from each child and asked the mother to leave the children with her for care and observation. The mother agreed and said she would return later that night to help with the children.

The results of the tests run indicated severe metabolic acidosis, an increased hematocrit, hypokalemia, and the presence of Vibrio cholerae bacteria in the stool samples. Based on the results of these tests, the physician and Jenny diagnosed the children with cholera and obtained a more detailed history in an attempt to determine whether these individuals were the only ones exposed or whether these cases were the first of a possible epidemic. Jenny and the physician found that the family had recently visited relatives in a distant village where similar symptoms had been present in a number of families that had all celebrated a recent shellfish harvest.

The physician prescribed continued IV infusions with lactated Ringer’s solution and electrolyte fluid replacement by mouth. The children were not allowed to consume other foods or drinks, especially coffee or any other beverages containing caffeine. The children were also told that once the vomiting stopped they could start consuming solid foods. The children were all treated with antibiotics and stool samples were taken from other family members to determine whether or not they were infected with Vibrio cholerae. Infected, asymptomatic individuals were treated with antibiotics. The physician later explained to Jenny that caffeine was prohibited because the toxin produced by the bacteria (termed choleragen) binds to the surface of the epithelial cells of the small intestine and activates adenylate cyclase. In addition, the toxin interferes with the active transport of sodium ions in the intestinal lumen.

Why did Jenny initially suspect that the child and other family members were experiencing food poisoning? Upon further evaluation on the second day why would the child present an increased pulse and respiratory rate but decreased blood pressure?

Here are the discussion board requirements.

  • The initial discussion post must be at least 250 words of content, referencing the reading of the week, and include a scholarly source.
  • Plagiarism of any kind will result in a “0”.

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 Personal affiliation

 Personal affiliation with other allows for a person to be able to connect with others when the need arises.  Affiliation may or may not be about the current work place or career goals.  I often find myself in nursing and life situations where I call on someone from my past that I trust to gain needed information or a different view on how to perform a task.rvices or goods among groups or individuals with a common goal.  Networking can be used at all levels of nursing.  Advancing the individual nursing career is just one aspect of networking. A community health nurse will establish and maintain a long list of other professionals and community leaders for the purpose of assisting communities in a host of health goals (Smith & Maurer 2009).

The benefit to my nursing career comes with each contact made.  This is due to the impression left on another with each interaction.  New opportunities to advance to a different nursing role many presents through a contact made during an interaction with others.  Professional references are also gained in these interactions.  I do believe that care needs to be taken when using professional references on a resume because some interactions will leave bad impressions or the professional has moved on to another position and no longer has the same contact information.

 

 

I NEED YOU TO COMMENT FROM THIS POST. 150 WORDS NEEDED AND A REFERENCE  Policy and procedures offer guidance on how to perform a task but people who have performed it in the past know all the difficulties that could come up.

Networking is a system of sharing information, se

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health needs

Purpose

This week’s graded topics relate to the following Course Outcome (CO).

  • CO 2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)

Discussion

For this discussion, you will collect assessment data about your city or county. This post will include information about demographics (general characteristics). You will then find epidemiological data (disease or health behavior rates) about one priority health problem in your community.

  1. Demographic data: Go online to the U.S. Census Bureau at https://www.census.gov/quickfacts/ (Links to an external site.). Obtain a range information about the demographic characteristics of the population for your city or county of residence. You may have to look at county data if your city is not listed. Discuss demographic data about age, ethnicity, poverty levels, housing, and education.
  2. Epidemiological data: Go to your city or county health department website (search the Internet) or County Health Rankings (http://www.countyhealthrankings.org/ (Links to an external site.)), and report epidemiological data about one priority health problem in your area. Examples include diabetes, heart disease, addiction, obesity, teen pregnancy, and more. Be sure that you accurately report how each statistic is measured. In the County Health Rankings site, you can hover over the category, and it will explain how it is measured.
  3. How do the demographic characteristics of your community influence the health problem you chose?

County Health Rankings and Roadmaps. (2018). Explore rankings. Retrieved from http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts. Retrieved from https://www.census.gov/quickfacts/ (Links to an e

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