Euthanasia

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Euthanasia & Physician Assisted Suicide (PAS)

After studying the course materials located on 

Module 8: Lecture Materials & Resources
 page, answer the following:

1. Euthanasia

· Medical / Generic definition

· Bioethical definition.

2. Describe pain and suffering within context of faith

3. Physician Assisted Suicide / Death ( PAS / PAD)

· Definition

· Is it ethical?

· Should we have the right to end our lives? Why yes or why not?

4. Better alternatives to PAS; compare and contrast each:

· Hospice

· Palliative care / Terminal sedation

5. Case studies. Brief summary of:

· Hemlock Society

· Jacob Kevorkian

· Britanny Maynard

Nursing Assignment

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Week 2 Ethical Frameworks Essay

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.

Review the rubric for further information on how your assignment will be graded.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases


Medical Indications: The Principles of Beneficence and Nonmaleficence

· What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

· What are the goals of treatment?

· In what circumstances are medical treatments not indicated?

· What are the probabilities of success of various treatment options?

· 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

· Has the patient been informed of benefits and risks, understood this information, and given consent?

· Is the patient mentally capable and legally competent, and is there evidence of incapacity?

· If mentally capable, what preferences about treatment is the patient stating?

· If incapacitated, has the patient expressed prior preferences?

· Who is the appropriate surrogate to make decisions for the incapacitated patient?

· 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

· 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?

· 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?

· Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

· What ethical issues arise concerning improving or enhancing a patient’s quality of life?

· Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

· What are plans and rationale to forgo life-sustaining treatment?

· What is the legal and ethical status of suicide?


Contextual Features: The Principles of Justice and Fairness

· Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

· Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

· What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

· Are there financial factors that create conflicts of interest in clinical decisions?

· Are there problems of allocation of scarce health resources that might affect clinical decisions?

· Are there religious issues that might influence clinical decisions?

· What are the legal issues that might affect clinical decisions?

· Are there considerations of clinical research and education that might affect clinical decisions?

· Are there issues of public health and safety that affect clinical decisions?

· Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 to >17.2 pts

Proficient

The writer clearly and effectively responds to the assignment.

17.2 to >15.0 pts

Approaches Proficiency

The response to the assignment is generally adequate, but may not be thorough.

15 to >0 pts

Does Not Meet Expectations

The writer does not respond to the assignment.

20 pts

This criterion is linked to a Learning OutcomeFocus and Detail

18 to >15.48 pts

Proficient

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

15.48 to >13.5 pts

Approaches Proficiency

There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information.

13.5 to >0 pts

Does Not Meet Expectations

The topic and main ideas are not clear.

18 pts

This criterion is linked to a Learning OutcomeOrganization

14 to >12.04 pts

Proficient

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

12.04 to >10.5 pts

Approaches Proficiency

The introduction states the main topic and provides an overview of the paper. A conclusion is included.

10.5 to >0 pts

Does Not Meet Expectations

There is no clear introduction, structure, or conclusion.

14 pts

This criterion is linked to a Learning OutcomeMechanics and APA

8 to >6.88 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

6.88 to >6.0 pts

Approaches Proficiency

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

6 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.

8 pts

Total Points: 60

Patient EHR

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Your patient has a Personal Health Record…Now what?

Discussion

Purpose

This week's graded discussion topic relates to the following Course Outcomes (COs).

Preparing the Discussion

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

· Demonstrate understanding of concepts for the week

· Integrate outside scholarly sources when required

· Engage in meaningful dialogue with classmates and/or instructor

· Express opinions clearly and logically, in a professional manner

· Use the rubric on this page as you compose your answers.

· Best Practices include:

· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

· Enter the discussion often during the week to read and learn from posts.

· Select different classmates for your reply each week

Discussion Question

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin's lymphoma. She was informed of this diagnosis in her primary care physician's office. She leaves her physician's office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician's office with this concern. The office staff discussed that she had part of her lab work completed at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor's office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

· What are the pros and cons of the situation in the case study?

· What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

· Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?

· What are challenges for patients that do not have access to all of the PHRs? Remember, only portions of the EHRs are typically included in the PHRs.

EBOOK to use for one citation:

· https://bookshelf.vitalsource.com/reader/books/9781323903148/epubcfi/6/492%5B%3Bvnd.vst.idref%3DP7001015544000000000000000002CB2%5D!/4/2%5BP7001015544000000000000000002CB2%5D/2/2%5BP7001015544000000000000000002CB3%5D/7:6%5B%20In%2Cter%5D

· email:
[email protected]

· Pwd: Leroyismyhero1#

let me know if you cannot have access to the ebook

Prof needs one citation from the ebook and one external citation

At least 2 citations.

SOAP NOTE week 5

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Soap Note 1 is based on the Case Study # 1

1.Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly. 
2.Follow the MRU Soap Note Rubric as a guide
3.Use APA format and must include minimum of 2 Scholarly Citations.

4.Check for plagiarism,Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated.
5.The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

6.The case study does not contain all the information related to the patient, so you must complete each step of the template according to the symptoms, signs, treatment, diagnostic methods, plan, education, etc. according to the patient’s diagnosis.

7. Attached you can find the rubric and SOAP note template. Also you can find one example.

under-served population project

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please take a look at attachment.

psychiatrist Medication

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THE ASSIGNMENT: 5 PAGES

For this assignment, you will develop a patient medication guide for treatment of depressive disorders in a vulnerable population (your choice for one vulnerable patient population to choose from: children, adolescents, older adults, dementia patients, pregnant women or one not listed of your choice!). Be sure to use language appropriate for your audience (patient, caregiver, parent, etc.). You will include non-copyright images and/or information tables to make your patient medication guide interesting and appealing. Limit your patient medication guide to 5 pages. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your patient guide, include discussion on the following:

  • Depressive disorder causes and symptoms
  • How depression is diagnosed for the vulnerable population of your choice, why is this population considered vulnerable
  • Medication treatment options including risk vs benefits; side effects; FDA approvals for the vulnerable population of your choice
  • Medication considerations of medication examples prescribed (see last bullet item)
  • What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring
  • Special Considerations (you must be specific, not general and address at least one for EACH category; you must demonstrate critical thinking beyond basics of HIPPA and informed consent!): legal considerations, ethical considerations, cultural considerations, social determinants of health
  • Where to follow up in your local community for further information
  • Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy. 

586 week 6

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Discuss who, among the talented and experienced people you know (use fictitious names) you would initially include on your business start-up venture team to maximize your opportunities for a successful business. Provide a rationale for choosing these individuals.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

nurse discussion post

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What are the challenges associated with diagnosing and managing sexually transmitted urogenital infections, particularly in the context of asymptomatic infections or delayed presentation? How can nurse practitioners support timely and accurate diagnosis and treatment? 

Vitamins

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Discussion 4 (Vitamins)

Vitamins are energy building nutrients that contribute to sound nutritional health. Water, on the other hand, is responsible for carrying necessary nutrients and removing waste products throughout our body. A human body is made out of mostly water and is critical to our health. Similarly, minerals and electrolytes are essential to human health and can be obtained in our diet from different foods. When humans are too sick to consume a regular diet, digestion and absorption may impact the supply of necessary nutrients, requiring specialized nutritional support to meet their nutritional needs.

After studying 

Module 4: Lecture Materials & Resources
, read the case study and answer the prompts:

Sharyn Bartell is a 24-year-old student who suffered multiple fractures when she fell from a cliff when hiking. As a result of the accident, she is immobile, in traction, and had a small bowel resection. She is able to keep her head up to 45 degrees. Sharyn used to weigh 140 pounds but has lost 8 pounds since the accident. The healthcare team agrees that Sharyn will need a feeding tube before her nutritional status deteriorates any further.

1. Navigate the web, research a high protein formula that can be administered via feeding tube and share 1) name of formula, 2) nutrient composition, and 3) indications for use.

2. Navigate to the Oley Foundation: 

Dietary Recommendations for Patients with Intestinal Failure – Oley FoundationLinks to an external site.
, read “Physiological Considerations” and discuss in at least one paragraph with two (2) effects of the small bowel resection on Sharyn’s fluid and electrolyte balance.

3. Navigate to the Oley Foundation: 

Living with Enteral Feeds – Oley FoundationLinks to an external site.
 and provide two (2) physical or psychosocial adjustments Sharyn will have to make when living with a feeding tube.

Discussion 5 (Nutrients)

All people need the same nutrients, but the amounts will vary depending on their stage in life such as infants, children, adolescents, pregnancy, adults, and older adults. For example, a pregnant woman will need to make sure she has a proper diet before, during, and after the pregnancy. A poor diet before and during the pregnancy may affect the health and development of her infant. She will also need to make sure and maintain a nutritionally balanced diet after the pregnancy, especially if she plans to breastfeed her infant.

After studying 

Module 5: Lecture Materials & Resources
, answer the following:

1. Review figure 10-3 Comparison of Selected Nutrient Recommendations for Nonpregnant, Pregnant, and Lactating Women in text and compare the recommended percent allowances for:

A. Iron – Who (nonpregnant, pregnant, lactating) needs it more and why?

2. Ellen is an 18-year-old single mother of a six-month infant; she works at a convenience store and makes minimum wage. Ellen has limited financial means and needs assistance. Navigate to Floridahealth.gov: 

https://www.floridahealth.gov/programs-and-services/wic/wic-program-info.htmlLinks to an external site.
 and share at least two (3) examples of how food assistance programs can help Ellen’s infant and one (1) example of why nutrition is important for an infant – provide a full paragraph.

3. Miguel is a 75-year older adult and has been diagnosed with early macular degeneration. Explain what macular degeneration is and share 2 vitamins or minerals that help reduce progression of the disease.

 

Discussion 6 (Chronic Disease)

 According to the Centers of Disease Control and Prevention (CDC, 2023), six out of ten adults in the United States have at least one chronic disease, and about four in ten have two or more chronic diseases. Chronic diseases include cardiovascular conditions, cancers, diabetes mellitus, and Alzheimer’s. Diet is a lifestyle factor that affects the development of many chronic conditions and even some neurological diseases.

After studying 

Module 6: Lecture Materials & Resources
, read the case study and answer the following:

Lenora is a 57-year-old Jamaican American female who works as a desk clerk. Her job requires her to sit all day from 9 a.m. to 5 p.m., then she drives for one hour to go home. She lives alone in a studio apartment. By the time she gets home, she is tired and barely has time to pick up some fast food. She was recently diagnosed with hypertension and diabetes type 2. She is 5’ 5” tall and weighs 180 pounds with a BMI of 30.1. Her blood pressure was 150/105 and her HbA1C of 7.5%. The healthcare team starts Lenora on atenolol (Tenormin) for her hypertension and metformin (Glucophage) for her diabetes.

References: Centers of Disease Control and Prevention. (2023). 
About chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm#risks

In paragraph form:

1. Provide at least two (2) complications of uncontrolled hypertension and diabetes.

2. Provide at least two (2) risk factors that may contribute to Lenora’s development of hypertension (see Appendix J: Body Mass Index (BMI) of your textbook)

3. Describe what is HbA1C and how is it used to monitor diabetes? (see Chapter 20, page 564 of your textbook).

4. Discuss what dietary counseling will Lenora need to control her hypertension and diabetes? Provide at least two (2) examples.

 

Discussion 7 (Cancers & HIV)

While cancers and human immunodeficiency virus (HIV) are different diseases, they both have debilitating effects that influence nutritional needs – and if nutritional needs are not met, both advanced stages of cancer and HIV can lead to severe body wasting. Cancer and HIV require highly individualized nutrition therapy.

After studying 

Module 7: Lecture Materials & Resources
, answer the following:

Navigate to HIVinfo by the NIH.gov: 

https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-nutrition-and-food-safetyLinks to an external site.
 – read the webpage and scroll to Healthy Living with HIV.

1. Describe how foods may affect HIV treatment (provide at least 2 examples).

2. Explain how to prevent opportunistic infections through their diet in people living with HIV.

3. Describe the type of cancer frequently associated with HIV and explain how this cancer’s symptoms may cause anorexia on those with HIV (see page 663 in your textbook).

Biophysical factors

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Help with completing Health Assessment assignment for RN-BSN program