Part I

The Advance Health Care Directive  

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.Links to an external site.

 Part I: 

1. Identify where you obtained the AD and explain its compliance with state law.
2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.    
3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive. 

(Cite/ reference any sources you use to explore these questions, including your texts.) 

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form 

1. What is a Physician Orders for Life-Sustaining Treatment (POLST) formLinks to an external site.?
2. When should this form be completed?
3. Who can complete the form?
4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.) 

Part III

Tie the two first sections together by writing a summary and conclusion. 

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcareinterventions the patient does or does not want.

____________________________________________

Option 1

Social insurance programs have been effective in reducing poverty among elderly and disabled individuals. Social Security, for example, provides a financial safety net for retirees and those with disabilities, reducing their reliance on other forms of assistance. Medicare provides access to healthcare services for millions of elderly and some disabled individuals. This has improved health outcomes for many seniors and alleviated financial burdens related to healthcare(Sherry Glied et al., 2022). Unemployment compensation helps individuals who lose their jobs by providing financial assistance during periods of unemployment, which can stabilize the economy by maintaining consumer spending. These programs serve as a critical social safety net, helping people facing unexpected life events, such as disability or job loss. Social insurance programs can help mitigate income inequality by providing benefits to those in need, particularly in the case of Social Security and unemployment compensation( Greenberg & Page, 2018). Changing demographics, such as an aging population, can place pressure on the sustainability of social insurance programs. As the number of retirees increases relative to the working population, funding challenges can arise. Economic recessions and downturns can strain unemployment compensation programs as more people seek benefits, leading to increased financial burdens on these systems. The effectiveness and funding of these programs can be influenced by political ideology. Some argue for expanding and strengthening them, while others advocate for reducing government involvement and spending.The cost of these programs can be a subject of political debate and fiscal concern, potentially leading to changes in eligibility criteria, benefits, or funding mechanisms. Ensuring the long-term sustainability of these programs often involves adjusting contribution rates, retirement ages, or benefit levels, which can be politically contentious. The effectiveness of Medicare is closely tied to broader debates about healthcare access and costs, which are influenced by socioeconomic factors and political decisions. In essence, the effectiveness of social insurance programs can be seen in their ability to reduce poverty, provide financial security, and act as a safety net during challenging times. However, their sustainability and funding mechanisms are influenced by socioeconomic and political forces. Public policy decisions, demographic changes, and economic conditions all play a role in shaping the future of these programs and determining how well they meet the needs of the population. The effectiveness of these programs will continue to be a topic of debate and policy consideration(Goss, 2010).

                                                            
Reference 

Greenberg, E. S & Page, B. I. (2018).
The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.

Goss, S. C. (2010, August 1).
Social Security Administration. Social Security Administration Research, Statistics, and Policy Analysis. https://www.ssa.gov/policy/docs/ssb/v70n3/v70n3p111.html 

Sherry Glied, K. A., Elizabeth Lee, S. M., & Kinder, M. (2022, March 9).
The social insurance system in the US: Policies to protect workers and Families. Brookings. https://www.brookings.edu/articles/the-social-insurance-system-in-the-u-s-policies-to-protect-workers-and-families/ 

 

Assignment Content

1. Complete the
ATI Systems Disorder template for your assigned respiratory topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA). 

This forum requires the viewing of two videos: the first is an excerpt from Dr. Kilbourne’s talk “Slim Hopes” and the second is a TED Talk by Ashley Graham. 

Dr. Jean Kilbourne is a renowned speaker who has made a career of presenting on her critical analyses of the effects of advertising on the American culture (ChallengingMedia, 2006). The video is of a brief excerpt (5:10) of Kilbourne’s talk “Slim Hopes,”Links to an external site. where she aims to persuade her audience that our culture’s current obsession with weight stems in part from the powerful influence advertising has on our culture. In fact, she argues that “there is no aspect more pervasive or more persuasive than advertising.” Also, while not required, you may want to view other videos by KilbourneLinks to an external site. which discuss the media’s influence on our culture’s attitudes regarding alcohol, tobacco, and sexuality.

The second video “Plus Size? More Like My Size”Links to an external site. is from a TED Talk by Ashley Graham, a model who is a major voice in the body acceptance movement (TEDx Talks, 2015).

Also, study the chapter on persuasive presentations in our textbook. In light of the videos, the text, and your own experiences, respond to the questions below:

• How do the speakers effectively address the appeals of ethos, logos, and pathos? 
• How do the images and data serve to persuade? 
• With regard to kairos and context, how may modern viewers respond to Kilbourne’s message differently than those who viewed these messages when they were first created (Kilbourne’s videos were made nearly 20 years ago)? 
• How does seeing Ashley Graham, a modern voice, support the work Kilbourne has been doing? 
• Finally, what is your personal reaction? Do you relate? Do you find the messages persuasive? Does the context or age of Kilbourne’s videos affect your receptiveness of her message?

Be sure to respond to your peers as well. As a reminder, connect to a scholarly source beyond the videos from Kilbourne and Graham.

References

ChallengingMedia. (2006). Slim hopes: Advertising & the obsession with thinness. https://www.youtube.com/watch?v=C7143sc_HbU

TEDx Talks. (2015). Plus size? More like my size. https://www.youtube.com/watch?v=xAgawjzimjc

Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age	Recommended Childhood Vaccines Include route of administration (oral, IM or Subcutaneous) And indicate if a combination vaccine is indicated.	Special Considerations for Age and Vaccine Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.
Within 12 hours of Birth
2 months
4 months
6 months
12 months
15-18 months
2 years
5 years
11-12 years
16 years
Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?