Category: Nursing

Topic: Reducing Ventilator associated pneumonia in the ICU setting. The effectiveness of implementing a comprehensive VAP bundle and its affects on ICU duration of stay and patient mortality rate.
*there is no page or reference requirement, as long as the prompt is answered.

Will attach rubric and details . Must include introduction and conclusion. References peer reviewed journals within the last 5 years

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice? Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use. Include in-text citation. TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?
Source: Jonsen et al., 2010

Your presentation should be a PowerPoint presentation approximately 10 minutes in length. You may choose to do speaker notes that I can read, OR you may do a voice over PowerPoint. Your findings should include the following:
Situation Analysis: Describe the environment, provider objectives and current information systems configuration, as well as any unmet needs or issues. (This section should be a description of what is in place and what is wrong with what is in place).
Workflow Requirements: Characterize the key workflows, protocol, communications, and other requirements to be met by the new or upgraded health information system.
Architecture Alternatives: Describe and evaluate several workflow alternatives. Indicate pro’s and con’s and how alternatives could lead to unresolved issues. Include how alternatives effect the human factor, care pathways and protocols.
Provisional Recommendations: Provide your next recommendations for how you would improve the system. Options can be do nothing, upgrade system, perform more analysis, modeling, etc. Be specific and give rationales for each recommendation.
You can find information on the web, product resources, vendors, etc.
There are two parts to this assignment. The first is a report and the second is a presentation. Both should address the four topics above. The paper is more detailed. It can include tables, graphs, etc. But it should not be just tables. You have to support it with words. Tables are a convenient way to present your words when they become long and confusing.

Module 3Reflection
Part 1
Review the course outcomes and consider the module objectives. What do you hope to learn during this module of study?
Course Outcomes
CO 1: Apply leadership and management theories, concepts, and models as a foundation for planned change within healthcare delivery settings. (POs 4 and 5)
CO 2: Determine the need for planned change that improves health and organizational outcomes based on a comprehensive needs assessment. (POs 4 and 5)
CO 3: Create a plan to lead and evaluate an evidence-informed change initiative in order to promote practice-related outcomes. (POs 4 and 5)
CO 4: Discern the leadership competencies and practices essential for building and sustaining a culture of professionalism and civility to facilitate the change process. (POs 3, 4, 5)
Module Objectives
Explore leadership skills, project manager roles, and responsibilities for leading change. (COs 1, 2, 3, 4)
Apply the Johns Hopkins EBP model to a practice problem. (CO 1)
Propose solutions to research, evidence-based, and practice questions for improving healthcare. (CO 2)

Part 1:
Select 1 of the following topics or another topic approved by your faculty member:
Health care as a right or privilege
Genetic/genomic research
Futile care
Whistleblowing
Euthanasia and assisted suicide
Clinical uses for illicit substances (e.g., medical marijuana, MDMA for PTSD)
Respond to the following in a minimum of 175 words:
Take a position on the topic and include evidence to support your position.
Explain why you agree or disagree with the stance and provide citations or evidence to support it. Be constructive and professional in your responses.
Part 2:
Summarize the decision-making model you employed and the process used to arrive at your position.
Review the following resource if you need additional information about ethical decision-making models:
“An Integrated Ethical Decision-Making Model for Nurses“ from the Wk 4 University Library Readings

Just basic APA format.  Short essay.  I will send 2 pictures of worksheet and rubric.  And my papers due get filtered through “Turn It In” just fyi.  

DETIALS
The thoughts and opinions you have about clients will influence your treatment of them. To discover your own assumptions about those with mental health disorders, answer the following questions based on your own thoughts and opinions. There are no right or wrong answers.
What causes the movement on the adaptive–maladaptive mental health continuum? That is, what motivates people to exhibit maladaptive behaviors?
How will you measure therapeutic success? Consider the degree of maladaptation possible.
Describe your thoughts/beliefs about the following:
Mental illness
Depression
Cutting
Anorexia
Hoarding
Anxiety
Rumination
Manipulation
Passive aggression
Bullying
Are humans trustworthy? Are clients with mental illness trustworthy?
Are clients with mental illness generally self-centered and selfish, or do they have the ability to empathize and show concern for others? Take into account the degree of maladaptation.
Can clients with mental illness change? Again, consider the degree of maladaptation present.
Do you believe that mental illness is prevalent? Why or why not?
Use APA 7th edition format. Randall reference should be less than 5 years old.
All components must be discussed to receive full credit.

The assignment is to read the 2st chapter of the Gawande book, which h can be found online. Here is an overview of what the chapter discussed.  Journal your thoughts, feelings, and/or concerns that may have arisen while reading the assigned chapter.  Discuss specific quotes that affected your opinion and how you will practice differently because of this reading. 
attached is link of a summary of chapter 2
www.litcharts.com/lit/being-mortal/chapter-2

I need a response to a peer’s discussion post
Prompt
Define complementary and alternative medicine. Choose one example of
complementary and alternative medicine. Describe the nurse
practitioner’s role in utilizing your chosen complementary and
alternative medicine. Support your answer with evidence-based research.
In your
response, it is important to be respectful, make your response
meaningful, and express yourself clearly.    It is a best practice to
not use unsupported personal opinions, generalizations or language that
might be viewed as offensive to others.  If you are trying to extend a
discussion, consider using probing questions.  If providing a
disagreement to a peer post remain respectful, considerate, and maintain
an academic tone.
Respond to this post please
Complementary
and alternative medicine (CAM) refers to medical practices and products
that are not part of the standard medical care. Patients may utilize
CAM to assist in coping with side effects of treatments, provide comfort
and ease the worries that patient may have on treatment and related
stress, and also help cure or treat some diseases (Barcan, 2020). CAM
can comprise mind-body therapies, biological based practices,
body-based and manipulative practices, energy healing and whole medical
systems. Mind-body therapy combines mental focus, body movements and
breathing to help in relaxing the mind and the body. They include;
meditation, biofeedback, hypnosis, taichi, yoga, creative outlets and
imagery. Biological based practices are when CAM utilizes things found
in nature including vitamins, botanicals, dietary supplements, and
special foods or diets. Body-based and manipulative practice is based on
working with body parts like massage therapy, reflexology, and
chiropractic therapy. Energy healing is about belief that an important
energy flow through the body. Lastly, whole medical systems comprise
healing system and beliefs that have evolved over time to diverse
cultures and areas in the world.
Acupuncture
is an example of CAM. It is an alternative therapy that involves
inserting thin needles in the body at distinct locations and depths to
help balance the life forces responsible for various health problems.
The role of nurses is to educate and encourage patients to do their
research and make informed decisions regarding their health and also
making decision to using the alternatives (Barcan, 2020). It is important for nurses to talk to the patient before they try new CAM practices.
Reference
Barcan, R. (2020). Complementary and alternative medicine: Bodies, therapies, senses.