Category: Nursing

Please see uploads for instructions rubric, supplemental documents  (scenario and cdc tracking), samples of ppt and script needed . 5 citations and apa 7th edition please.

Hi! Please follow the following instructions for this care plan:
This is a med surg care plan and attached you will find the template in which you have to answer in. and an example of There is also an example of what it should look like
This is the information to be used:
42 yrs old, male, came into the hospital due to moped accident. Denies alcohol, tobacco, or drugs. Diagnosis: femur fracture, tibia fracture, humerus fracture, liver laceration, compartment syndrome of the right hand, compartment syndrome of the right upper extremity. Allergies: none. Support System: both parents (mom and dad) (live in another state). Has 2 siblings (make it up). Occupation: none. Single. Highest grade completed: high school. Weight: 180 lbs. Health insurance: N/A. Significant primary caregiver: the mother. Language: english.
For diagnostic results: make up some diagnostuc exam name and results that prove any of the diagnosis above. Surgical Procedures: N/A
Past Health history: make it up, put hypertension
History of Present Illness: Write the following: Presented as a transfer from another hospital. Found to have multiple injuries including a displaced right humeral fracture with right axillary artery occlusion. Patient was transferred and underwent orthopedic intervention and right axillary artery interposition bypass with right axillary and brachial embolectomy with fasciotomies. Admitted to ICU post operatively for further managment and neurovascular monitoring. Injuries include: right axillary artery occlusion. right proximal humerus fracture left femur shaft fracture with distal intraarticular extension left tibia shaft fracture intraparenchymal liver laceration. Patient underwent right axillary artery interposition bypass with reveresed left greater saphenous vein right axillary and brachial embolectomy, right carpal tunnel; release right hand fasciotomies volar right forearm interposition. For review of systems: this is all subjective data meaning its what the patient says, you can use the example as a reference and make sure its as detailed and make sense with the pt’s history. For the Health Assessment: You can use the attached example document of how to write. Make sure this is detailed please and that it relates to the pt’s history. IT NEEDS TO MAKE SENSE. Some abnormal things to include for this assessment (include the normal things yourself please) these are key points.
For patho, use the diagnosis and describe it using APA 7th edition with in text citations.
Baseline and Current Vital Signs: BP: 141/87, Pulse: 74, RR:18, SPO2, 98%.
Allergies: none
Diet with rationale: Regular diet because they have no limitations to their diet. explain a little more.
Activity Order: fall risk Limitations: N/A
For labs, use the following (APA CITATIONS TOO FOR RATIONALE) put the unit as well for each
Creatinine 1.48 explain why its important to check it.)
Calcium 8.0 explain why its important to check it)
BUN: 26 explain why its important to check it)
Hgb: 11 and Hct: 35 explain why its important to check it)
For IVs: put N/A
For Medications, Include the following:
Quetiapine 300 mg 3 tab oral at bedtime, amlodipine 10 mg 1 tab oral daily, oxycodone 2.5 mg 0.5 tab oral every 4 PRN as needed for pain, and ondasteron 4 mg 1 tab oral every 6 hrs PRN as needed for nausea. Make sure to use in text citation in APA format for rationale, therapeutic range, and nursing implications. please include the therapeutic range. make sure to include generic and brand names.
For nursing theorists, must find the theory use at least 2, and explain it using APA in- text citations.
For the 3 Nursing Diagnosis, MUST USE NANDA #1.
Make sure the first diagnosis put on the list is the one that you FULLy elaborate on. When describing the rationale of importance, make sure it is APA citation.
NOW:
When explaining the nursing diagnosis with the goals sections, follow these instructions and the ones on the sample.
– Make sure to write all three nursing diagnosis, but only dive into the most important one and write one short term goal with one long term goals and 3 interventions per goal and a rationale per intervention. YOU MUST TAKE INTO ACCOUNT CULTURAL CONSIDERATIONS.
nursing interventions must have the person completing it, the action, frequency and what’s the role of the nurse. cultural considerations and mention the suicide hotline for the discharge teaching. make sure to use credible sources. make sure to use in text when necessary as well. thank you
– for subjective and objective data, info may be made up.
-Expected outcomes must be realistic and measurable. please make sure that each goal has 3 interventions. Nursing interventions must state action, frequency and person who is going to carry these out. Patient’s cultural, developmental and psychosocial status must be considered in nursing interventions
For the discharge plan, include how you will educate the client and the family among other things.
FOR THE GENOGRAM COMPUTED AT THE END:
MUST CONSIST OF PAST 2 GENERATIONS. MAKEUP THAT. this can be computer generated. do not forget this, put this at the end
Make sure this has a reference page at the end with all the references!!!Please make sure it sounds complete and realistic
Thank you!!Please make sure its well organized and you adhere to my instructions, thank you. Please make sure its well detailed with no grammatical errors.
MAKE SURE YOU USE CREDIBLE SCHOLARY SOURCES

Paper should be a minimum of 8 pages and must follow APA format (ie: title page, double spaced, 1inch margins, page numbered, header, citations, reference page). Please adhere to the student Honor Code in an effort to maintain the integrity of your work and avoid plagiarism.
Paper should include at least the following, but is not limited to:
Introduction
Epidemiology:
Include current statistics on disease distribution
Risk factors
Definitions & background data
Pathophysiology
Review of normal system anatomy and physiology (brief statement)
Functional changes associated with disease process:
clinical presentation
disease progression
Current Trends in care/treatment: may include research currently being done; what’s new on the horizon to improve patient outcomes.
Cultural Sensitive Care for at least 2 cultural/religious groups.

The aim of this assignment is to analyze and describe the unique handwriting characteristics of an individual. This will involve examining various aspects of the handwriting, such as letter formation, slant, spacing, and overall legibility.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a paper of 3-5 pages.
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF]resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the health care professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 3 Example [PDF] Download Assessment 3 Example [PDF].
Applying Ethical Principles
Learner’s Name
Capella University
NHS4000: Developing a Health Care Perspective
Instructor Name
August, 2020
Applying Ethical Principles
Health care professionals often face ethical problems during their practice that require
them to use their moral values and principles when making decisions. The four fundamental
principles of health care ethics—autonomy, beneficence, nonmaleficence, and justice—act as
yardsticks for fair and ethical decision-making. These ethical principles are widely accepted in
the field of health care. Medical practitioners and health care administrators often use these
principles to make decisions when faced with complex situations involving patients.
Overview of the Case Study
Betsy is a dedicated pediatric nurse known for the care and concern she shows her
patients. Her neighbor and friend, Alice, lives with her husband and 4-year-old daughter, Shirley.
Alice and her husband are followers of Christian Science, a belief that advocates spiritual healing
and discourages most types of medical intervention. One day, when visiting Alice and Shirley,
Betsy sees Shirley experience what seems like a seizure. The child suddenly becomes
unresponsive and has a brief staring spell, with her eyes rolling upward. The episode lasts for 20
seconds, during which she seems completely unaware of her surroundings. While Shirley is
having the seizure, Alice sits by her side and prays but takes no other action. Betsy is concerned
about the little girl’s condition and probes her friend for details. Alice tells Betsy that Shirley
used to have around 15–20 such episodes a day until a few months ago; this has now reduced to
about 12. Alice attributes the improvement in Shirley’s health to her prayers and faith. However,
this does not help Betsy feel comfortable about Shirley’s condition. She is almost certain that
Shirley has epilepsy, which, if not treated on time, could have profound health implications. At
the very least, she thinks Alice should have Shirley’s symptoms accurately diagnosed.
Understanding the gravity of the situation, Betsy sets up a meeting with Shirley’s parents
and Dr. Campbell, director of the neurology department at her hospital. She treats this meeting asi
She treats this meeting as
Copyright ©2020 Capella University. Copy and distribution of this document are prohian intervention, and both she and Dr. Campbell express their concern for Shirley’s hea
stress on the fact that the improvement in Shirley’s symptoms does not necessarily mean she will
be cured. They empathize with Alice and her husband’s reluctance on account of their religious
faith but reiterate the importance of getting Shirley’s symptoms diagnosed. To prove their point,
they present studies that describe how seizures can be indicative of illnesses such as epilepsy,
which could negatively affect her cognition and behavior. Shirley’s parents are grateful that
Betsy and Dr. Campbell are concerned about their daughter’s health but remain resolute about
going against their faith. They believe that prayer will cure her. Betsy is faced with an ethical
dilemma of whether she should respect the parents’ religious beliefs and not intervene in the
matter or perform her moral obligation as a health care professional.
Analysis of Ethical Issues in the Case Study
In the case study, the main factor that led to Betsy’s ethical dilemma is Shirley’s parents’
refusal of medical assistance for their daughter owing to their Christian Science beliefs. When
Betsy notices Shirley’s seizures, she thinks it is her duty to make sure Shirley receives medical
attention. As she respects the religious faith and belief of Shirley’s parents, she decides to
explain the risks that seizures could involve. She also includes Dr. Campbell in the conversation
so that he could provide an objective opinion to make them understand the need for medical
intervention. However, Shirley’s parents are certain that prayer will cure her seizures.
Considering that their attitude could result in serious health implication for Shirley, Betsy is
concerned about the little girl receiving appropriate medical attention (Baumrucker, et al., 2017).
Using the Ethical Decision-Making Model to Analyze the Case Study
The three components of the ethical decision-making model—moral awareness, moral
judgment, and ethical behavior—can help analyze the ethical issue outlined in the case study.
Whereas moral awareness is knowledge of the existence of an ethical dilemma, moral judgme
nvolves choosing between the right and wrong actions when posed with such a dilemma. Both
moral awareness and moral judgment lead to ethical behavior. Ethical behavior is taking the right
action to resolve a dilemma. Betsy’s moral awareness is reflected by the fact that she recognizes
the circumstances surrounding Shirley’s condition. Her moral judgment is reflected by her
decision to try to convince Shirley’s parents to get Shirley medical help because she believed
that it was the right thing to do. Betsy’s ethical behavior constitutes the action she takes to
resolve the dilemma. This, in turn, depends on her personal judgment and the four principles of
health care ethics (autonomy, beneficence, nonmaleficence, and justice) she should abide by as a
health care professional.
Effectiveness of Communication Approaches in the Case Study
Listening plays an important role in patient–physician communication. By listening to
Alice, Betsy learns of the frequency of Shirley’s seizures and the reduction in their occurrence.
She also learns that Alice and her husband believe that this reduction is due to their prayers and
faith in Christian Science. Therefore, active listening helps Betsy understand the situation better.
Betsy is aware that if she decides to get medical help for Shirley without the consent of
Shirley’s parents, she would be violating their right to informed consent and overstepping her
boundaries as a health care professional. So, she decides to present them with the information
they need to make an informed decision. She maintains an open communication with Shirley’s
parents while explaining the impact of seizures on their daughter’s health. She stresses the
importance of immediate diagnosis of Shirley’s seizures. Thus, by being respectful of Shirley’s
parents’ emotions and providing them with complete information about the problem, Betsy
communicates the situation to them in an effective manner.
During the discussion with Shirley’s parents, both Betsy and Dr. Campbell are
empathetic toward Alice and her husband’s reluctance to get the necessary medical help for their
daughter on account of their religious faith. Betsy seems to have involved Dr. Campbell so that
he could share his objective expert opinion based on his experience in dealing with patients who
have similar symptoms. She probably thought that Shirley’s parents would change their decision
if Dr. Campbell reiterated that Shirley could develop severe cognitive problems (such as learning
difficulties and memory deficits) or behavioral problems (such as irritability, anxiety,
hyperactivity, and mood swings) if her seizures are neglected. However, they were unable to
convince Shirley’s parents to get Shirley medically diagnosed.
Although Betsy followed a systematic approach while dealing with the issue at hand, it
seems to have been ineffective as Shirley’s parents continued to stand by their faith in prayer.
However, listening patiently to patients’ problems and showing empathy and genuine care while
communicating with them are some lessons that health care professionals can take back from this
case study.
Resolving the Ethical Dilemma by Applying Ethical Principles
The four ethical principles of autonomy, beneficence, nonmaleficence, and justice are
often employed to resolve ethical dilemmas related to health care. Autonomy refers to accepting
and understanding patients’ values, beneficence refers to acting for the welfare of patients,
nonmaleficence refers to not doing harm to the patient, and justice refers to treating patients
fairly without bias.
The ethical dilemma that Betsy faces in this case involves three of the four basic
principles of medical ethics. In the case study, the ethical dilemma is caused by the conflict
between the principles of autonomy on the one hand and beneficence and nonmaleficence on the
other. Betsy preserves the autonomy of Shirley’s parents by respecting their religious beliefs and
not coercing them to get the girl correctly diagnosed. She further ropes in Dr. Campbell to try to
explain to them the importance of getting an accurate diagnosis.
Approaching Child Protective Services—a social service agency run by the government
to counsel and support children and their families and promote child welfare—could be
considered by Betsy as an ethical means to resolve the dilemma. As Betsy is obligated to help
Shirley get medical care (beneficence) and prevent any harm that might be caused from ignoring
her seizures (nonmaleficence), she could seek intervention from Child Protective Services.
Although involving Child Protective Services could result in overriding the ethical principle of
autonomy, Betsy might have to take this decision keeping Shirley’s best interests in mind
(Baumrucker et al., 2017).
Conclusion
The four principles of health care ethics can be applied by health care professionals to
analyze and resolve ethical dilemmas. In the case study, Betsy has to decide between respecting
Shirley’s parents’ religious beliefs and performing her moral obligation as a health care
professional by helping Shirley seek medical care. The proposed solution involves upholding the
principles of autonomy, beneficence, and nonmaleficence to resolve Betsy’s ethical dilemma.
Assessment 03 – Applying Ethical Principlesyrit ©20 Capella University. Copy and distribution of this document arAssessment 03 – Applying Ethical PrinAssessment 03 – Applying Ethical P
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health
care professional. Before you complete the instructions detailed in the courseroom, first select
one of the ethical dilemmas below to be the focus of your assessment.
After you have selected one of the ethical dilemmas from below, return to the detailed
instructions in the courseroom to complete your assessment.
Case Study: Conscientious Objection and Professional
Responsibility
Nurse Amelia Brooks, a dedicated and experienced nurse at Riverside Medical Center, has
always been known for her commitment to patient care. However, she finds herself in a moral
quandary when Dr. Rebecca Martin, the leading obstetrician at the center, asks her to assist in
an elective abortion procedure for a patient named Sophie Turner, a 24-year-old graduate
student.
Amelia holds strong personal beliefs against abortion due to her religious upbringing. She feels
that participating in the procedure would violate her conscience and deeply held moral
convictions. However, she also recognizes her professional responsibility to provide care
without discrimination and to prioritize the well-being and autonomy of her patients.
The principle of autonomy emphasizes the importance of individual choice and freedom. In this
context, it applies both to Sophie’s right to make decisions about her own body and to Amelia’s
right to act in line with her personal beliefs. The principle of professional responsibility, on the
other hand, underscores Amelia’s duty to provide care and uphold the standards of her
profession. Balancing these principles is the concept of non-maleficence, which emphasizes the
commitment to “do no harm.” Amelia grapples with what “harm” means in this context: harm to
the patient by potentially denying care or harm to herself by violating her conscience.
Case Study: Genetic Testing and Patient Autonomy
Dr. Leonard Harper, a seasoned geneticist at Hillside Medical Center, has always been an
advocate for patient autonomy. One day, he is approached by Mrs. Clara Bennett, a 38-year-old
literature professor, who is expecting her first child. Clara, having heard about the
advancements in prenatal genetic testing, wishes to undergo the procedure to determine if her
unborn child has any genetic disorders. She’s particularly concerned due to her age and a
family history of genetic anomalies.
2
After conducting the necessary tests, the results reveal a high likelihood that the child will have
Down syndrome. Dr. Harper schedules a private consultation with Clara to discuss the findings.
During the meeting, Clara, visibly distressed, makes an unexpected request. She asks Dr.
Harper to withhold the results from her husband, Lt. Jack Bennett, a naval officer currently
stationed overseas. Clara fears how Jack, who is eagerly awaiting the birth of their first child,
might react to the news. She’s concerned that it might add undue stress to his already
demanding and dangerous job.
Dr. Harper finds himself in a profound ethical dilemma. On one hand, he respects Clara’s
autonomy and her right to decide when and how the information is shared. On the other hand,
he believes in the importance of open communication, especially in matters that affect family
dynamics and decision-making. He worries about the strain this secret might place on the
Bennetts’ marriage and the potential implications for future medical decisions regarding the
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Use correct spelling, grammar, and punctuation.
References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The nursing process continues to provide the foundation for organizing information and thought, whereas the mapping becomes the process for intentional critical thinking and clinical reasoning.

This would be a evidence based practice paper, I have the referenxces to what the paper will be about

Please read first Pdf for assignment instructions and second Pdf is the scenior link under 
instructions (instructions in first pdf).    first slide should include My introduction . Please live it blank for me to put my name, collge name, course name and date. Speaker notes should be at bottom of each slide 

INSTRUCTIONS: There can be tremendous legal ramifications if regulatory and legal requirements are not met. Demonstrate the science of informatics in an executive summary to administration highlighting the importance of ethics and regulation.
Identify a specific organizational health care outcome that benefits from the use of informatics and supports the strategic plan of an organization, keeping in compliance with ethics and regulations. This assessment has two parts:
HEALTHCARE OUTCOME TO ADDRESS: reducing hospital readmissions of elderly patients with chronic conditions
Part 1—Spreadsheet
Create a HIPAA compliant spreadsheet (you can find, create, or use data from your practice setting) of the initiative.
This is a basic Excel spreadsheet for one identified patient population issue using the requirements described below.
A basic Excel spreadsheet using:
10 hypothetical de-identified patients.
Trending data for each of two quantitative data criteria.
Two Excel formulas (addition, multiplication, et cetera).
Part 2—Executive Summary
Develop a 1–2 page narrative in the form of an executive summary to explain the spreadsheet. As you prepare the content for your summary, consider the following:
Your target audience. Keep in mind that the goal of this summary is to ensure that stakeholders have accurate and concise data, information, and plans.
The importance of creating a HIPAA compliant spreadsheet.
How selected theory or conceptual models were used to effect the change.
How standards of practice were used to effect the change.
An explanation of the trending of data and how this helped the organization understand the current health care outcome.
Define baseline data, how often you measured data for data trending, and why this was important for the organization to understand related to safe practice.
The use of regulatory information supporting informatics as science to produce safe practice.
COMPETENCIES BEING MEASURED: By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply theoretical frameworks and models of nursing informatics to professional nursing practice.
Apply an informatics model solution to a specific organizational strategic outcome related to regulatory and legal requirements.
Apply outcome data in the context of using researched theory or models to effect change.
Competency 2: Apply standards of practice in nursing informatics to address gaps in practice in a health care organization, practice setting, or community.
Apply outcome data in the context of standards of practice to support the main points of the executive summary.
Competency 3: Analyze how regulatory bodies, rules, regulations, and requirements impact the use of health information technology in nursing practice and organizational operations.
Assess the use of regulatory information related to your example in the context of safe practice.
Competency 4: Integrate ethical and legal practices into delivering quality health care using technology in various environments.
Analyze the importance of creating a HIPAA compliant spreadsheet.
Competency 6: Communicate as a practitioner-scholar, consistent with the expectations of a nursing professional.
Written communication is professional in tone, free of grammar and spelling errors, and appropriate for the intended audience.
SPREADSHEET EXAMPLE ATTACHED, TAKE A LOOK:))

I  will provide the rubric! You can makeup any personal examination or whatever to complete the assignment just keep in mind that I’m an African American female when doing the assignment. APA is not necessary and you may use 1st person