Cultural Competence in Ethical Decision Making

Read chapter 14 of the class textbook and review the attached PowerPoint presentation. Once done, please present an essay on health care inequity and how a moral philosophy affects the decision making of nurses.

Make sure that the essay includes the following;

Include the ramifications of the unequal treatment of health care for a group and include the implications for both health care providers and patients.
What health issues may be better addressed by a nursing care staff with knowledge about inequity and the ethical principles and theories of human rights?
INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 14 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory). A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines and must be from a gerontology journal. 700 words except first page and references.

Week 10- DUE 10/27/2018
Assignment: Textbook Problems: Failure Modes Effects Analysis Project
How are risk priority numbers (RPN) useful for health care administration leaders?
As you continue your examination of the use of and purposes for FMEA, you will begin to critically evaluate the numbers associated with your analyses. That is, the rates with which certain processes may be failing in your health services organization will allow you to strategically assess and implement efforts aimed to reduce errors and to promote quality health care delivery.
For this Assignment, review the resources for this week regarding chi-square, ANOVA, ANOM, and regression. Pay particular attention to the examples shown in the textbook. Consider how these tools may contribute to the value-chain perspective.
The Assignment: (3- pages)
·  Using SPSS and Microsoft Word, complete problems 1 through 4 on pages 405–406 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading.

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper 1,800-words on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.

2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.

4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?

5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.

6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to four sources to complete this assignment. Sources must be published within the last 5 years. Also, you must have an abstract and a conclusion. Note, APA format is required

Assignment: Module 09 Written Assignment – What’s In A Number?

Complete the following worksheet on ABGs: What’s in A number Student worksheet

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

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Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1.  Is very anxious and asks whether she is going to die.

2.  Denies pain but says she feels like she cannot get enough air.

3.  Says her heart feels like it is “running away.”

4.  Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1.  Height 175 cm; Weight 95.5kg.

2.  Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

3.  Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

4.  Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

5.  Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1.  IV furosemide (Lasix)

2.  Enalapril (Vasotec)

3.  Metoprolol (Lopressor)

4.  IV morphine sulphate (Morphine)

5.  Inhaled short-acting bronchodilator (ProAir HFA)

6.  Inhaled corticosteroid (Flovent HFA)

7.  Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 850 words, critically evaluate Mrs. J.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mrs. J.

2.  Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

3.  Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

4.  Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

5.  Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

6.  Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

7.  Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, and abstract is required.