Category: Healthcare

Rewrite this essay
Working in this institution requires a certain level of professionalism. One is to have cultural awareness
especially in a very diverse driven institution. An inclusive environment for our patients adds to the
quality of care they receive, thus creating positive feedback from patients. When faced with challenges, I
have learned to seek help and advocate for team work. Contributing to the different teams we have in
the department definitely has a major impact on our workflow. There are many personalities that can be
seen in a big department, such as Interventional Radiology. I have been open-minded on the possibility
of several viewpoints and ideas but prepared to embrace differences.
IR nurses should demonstrate professionalism when communicating and inspire trust when interacting. I
have remained committed to practices that show accountability and adherence to set standards of
conduct. MD Anderson’s standards of conducts and policies have considered emotional intelligence as a
key element for IR Nurses. I have utilized the teamwork that offers emotional support whenever faced
with such emotional challenges. In my free time, self-reflection during my free time and at home to
assess my goals and achievements during the day. I am also open minded when it comes to reflections
and feedback. This is a necessary tool for growth and development.
This year has opened opportunities for me to continue coaching new nurses and travel nurses, and show
what our unit has to offer. I have also trained new nurses for MRI: breast cryoablation: which is a first
for this institution, as well as MRI breast biopsies. Aside from teaching, I have also trained to become a
command center resource, and have participated in being a charge nurse in Mays clinic
IR Nurses have the responsibility of promoting professional practice. I have used evidence-based
approaches, including research, IR Nursing Acts, national nursing practice standards, and established
standard operating procedures (SOPs)- as we hear it from the MDs we work with. They inspire us to
learn and educate ourselves so we can be a resource for them in return. As an IR Nurse, I am responsible
for ensuring standard services are provided to all patients and staff demanding my attention.
On structural empowerment, the motivation is problem-solving. As an IR Nurse, I have provided
feedback to the Nurse Management and staff. I have ensured timely communication to reduce errors
that may occur in case of delayed treatment. Having worked as a command center nurse and charge
nurse, I have collaborated with team members to promoted dialogue and ensure reduced conflict when
developed solutions. A stronger team embraces partnership and diversity to improve patient, family and
management desired outcomes.
Working in interventional radiology, I have learned to be a transformational leader who adheres to the
set professional values and supports others staff and patients to foster patient-patient care competency.
In my professionalism, I have demonstrated loyalty and commitment to the units to ensure teamwork
for the wellbeing of the patients and staff. I have applied both new and existing knowledge and patient
care standards to ensure accountability and adherence to exemplary nursing practices. Being an on-call
nurse teaches you to take responsibilities and direct fellow team members for a better and efficient
workplace environment.

Introduction: Ethical and legal problems arise in healthcare organizations when the decision-making capacity of an elderly patient is uncertain, particularly when the patient’s decisions are at odds with the rest of the family’s preferences. The scenario provided here is about this type of situation.
This performance assessment will provide you with experience in sorting through the sometimes-competing issues related to a scenario such as the one described, as well as experience in formulating actions that can help guide a healthcare organization through ethical problems that arise in caring for elderly patients.
Note: Students may rely on conversations and notes gleaned from cohort lectures and Boot Camp.
SCENARIO
You are the healthcare administrator at a local hospital. A social worker has come to you to discuss the case of Jamilah Shah, a patient who has recently been admitted to the hospital. Jamilah is a 90-year-old woman who was brought to the hospital after collapsing at the side of her bed. EKG and lab tests revealed a heart attack.
More than 40 years ago, Jamilah emigrated with her wealthy husband (now deceased) and their three sons from Turkey to the United States. Jamilah was a homemaker and learned only basic English, but her children are fluent English speakers. The children are now all in their 50s. The family retains Turkish culture and norms, including the sons acting as patriarchs for the family. Even though Jamilah is highly educated (in Turkey she was trained as a lawyer), the sons make many of the family decisions. Two of the three children are in successful careers. The remaining child, the youngest son, Bashir, owns a small market and struggles financially.
Until yesterday, the day of her admission, Jamilah resided in an extended care facility (ECF), where she has lived since her husband’s death. She reportedly has severe chronic obstructive pulmonary disease and adult-onset diabetes mellitus.
Jamilah has no advance directives on file. Because of her communication difficulties, the emergency department physician started her on anticoagulants while trying to contact her next of kin. The ECF sent paperwork to the hospital, listing Bashir as the emergency contact. Bashir was contacted and is now at the hospital with his two brothers. He has informed the care team that he is the decision maker, and he wants his mother to have a Do Not Resuscitate (DNR) order with no intervention of any kind other than comfort care.
The social worker has come to you with concerns that this decision may not reflect Jamilah’s wishes. When the social worker was visiting with Jamilah alone, Jamilah reached for her hand and said, “Please help me. I want to live.” The social worker shares concerns about the interactions observed between Jamilah and her sons, stating that the relationships seem unsupportive. The hospital’s ethics committee has not yet been involved. The social worker also reports that the emergency physician requested a cardiology consultation, which was just completed. The consultant documented that “Because the family has requested only comfort care, and due to the patient’s multiple comorbidities, the patient will be managed medically, with no intervention, and will not receive cardiac catheterization or be considered for coronary bypass surgery.” If nothing is done, Jamilah will likely die within days.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Note: Complete these prompts by using complete sentences.
Note: The web links “Advance Directives” and “Determining Competency for Medical Decisions” found below may be used to assist you in completing this assessment.
A.   Write an essay (suggested length of 5–7 pages, not including attachments) analyzing the scenario by doing the following:
1.   Describe three potential ethical dilemmas presented in the scenario: one related to autonomy, one related to beneficence, and one related to non-maleficence.
a.   Analyze legal implications associated with each of the potential ethical dilemmas described.
2.   In response to Bashir’s demands for only comfort care, discuss each of the following three courses of action in the scenario as it relates to each ethical dilemma.
•   Course of action 1: follow Bashir’s wishes
•   Course of action 2: refuse to follow Bashir’s wishes
•   Course of action 3: briefly delay the decision to gather additional information and other perspectives
a.   Choose and justify the correct course of action (in response to Bashir’s demands for only comfort care).
b.   Choose one of the courses of action from part A2 that you did not justify in part A2a and explain how possible consequences show that it is not the correct course of action.
3.   Putting yourself in the role of a healthcare administrator, describe in the essay what should happen next within the scenario by doing the following:
a.   Describe two resources that could have made or could still make Jamilah’s wishes clearer.
i.   Explain how each resource could have made Jamilah’s wishes clearer.
4.   Create three policy recommendations that you could make as an administrator to help your employees and the facility’s medical staff handle similar situations in the future.
a.   Justify each policy recommendation.
B.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
C.   Demonstrate professional communication in the content and presentation of your submission.
RUBRIC
A1:POTENTIAL ETHICAL DILEMMAS
NOT EVIDENT
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are not provided.
APPROACHING COMPETENCE
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are provided, but the descriptions do not have a significant and demonstrable relationship to the scenario.
COMPETENT
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are provided. The descriptions are accurate and directly relate to the scenario.
A1A:LEGAL IMPLICATIONS
NOT EVIDENT
An analysis of the legal implications associated with each of the potential ethical dilemmas discussed in part A1 is not provided.
APPROACHING COMPETENCE
An analysis of the legal implications for each of the potential ethical dilemmas in part A1 is provided, but the analyses are partly or completely incorrect.
COMPETENT
An analysis of the legal implications for each of the potential dilemmas in part A1 is provided, and the analyses are correct and consistent throughout the response.
A2:COURSES OF ACTION
NOT EVIDENT
Discussions of each of the three given courses of action are not provided.
APPROACHING COMPETENCE
Discussions of each of the three given courses of action are provided, but the discussions are not accurate or do not directly relate to the scenario.
COMPETENT
Discussions of each of the three given courses of action are provided. The descriptions are accurate and directly relate to the scenario.
A2A:JUSTIFICATION OF COURSE OF ACTION
NOT EVIDENT
A justification of which of the courses of action is correct is not provided.
APPROACHING COMPETENCE
The correct course of action is chosen, but the justification for that course of action is not logical, not appropriate for the position of a healthcare administrator, or not relevant to the scenario.
COMPETENT
The justification for the correct course of action is logical, appropriate for the position of a healthcare administrator, and relevant to the scenario.
A2B:EXPLANATION OF WRONG COURSE OF ACTION
NOT EVIDENT
An explanation of how possible consequences show that the course of action chosen is not correct is not provided.
APPROACHING COMPETENCE
An explanation of how possible consequences show that the course of action chosen is not correct is provided, but the explanation is not logical, not appropriate for a healthcare administrator, or not relevant to the scenario.
COMPETENT
An explanation of how possible consequences show that the course of action chosen is not correct is provided, and the explanation is logical, appropriate for a healthcare administrator, and relevant to the scenario.
A3A:RESOURCE
NOT EVIDENT
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are not provided.
APPROACHING COMPETENCE
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are provided, but the descriptions of 1 or both of the resources is not accurate.
COMPETENT
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are accurately provided.
A3AI:RESOURCE EXPLANATION
NOT EVIDENT
An explanation of why the resources in part A3a would be helpful is not provided.
APPROACHING COMPETENCE
An explanation of why the resources described in part A3a would make Jamilah’s wishes more clear is provided, but the explanation of 1 or more of the resources is not logical.
COMPETENT
The explanation of why each resource described in part A3a would make Jamilah’s wishes more clear is logical.
A4:POLICY RECOMMENDATIONS
NOT EVIDENT
The 3 policy recommendations are not created.
APPROACHING COMPETENCE
The 3 policy recommendations are created, but 1 or more of those recommendations would not be helpful to employees and staff in similar situations in the future.
COMPETENT
The 3 policy recommendations that could help employees and medical staff handle similar situations in the future are created.
A4A:POLICY RECOMMENDATION JUSTIFICATION
NOT EVIDENT
Justifications for 1 or more of the policy recommendations are not provided.
APPROACHING COMPETENCE
A justification is provided for each of the policy recommendations, but 1 or more of the justifications are inaccurate or not relevant.
COMPETENT
The justifications provided for each of the policy recommendations are accurate and relevant.
B:APA SOURCES
NOT EVIDENT
The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.
APPROACHING COMPETENCE
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.
COMPETENT
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
C:PROFESSIONAL COMMUNICATION
NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

Elements of Arguments
Objectives
Develop a STRONG thesis statement(highlight in green)
Defend your thesis statement with at least two pieces of evidence (highlight in yellow)
Reflect on each piece of evidence (highlight in blue)
State why each piece of evidence is important to your thesis topic ( highlight in pink/purple)
Deliverables
A 500-word paper
Step 1
Write a paper.
In a 500-word paper, consider a controversial topic that people are usually on one side or the other of (e.g. whether or not marijuana should be legalized) and address the following:
Use the four main elements of an argument to try and change your reader’s opinion.
Use techniques that draw the reader in and make them want to read your paper, even if they may not agree with you.
List the critical thinking skills you employed to devise the argument in your paper.

Below are the files needed for this assignment, it should also have photos, diagrams, interview questions and the interview answers, and evidences. Oxford Brooks references and citations

Decide for yourself whether death by suicide should carry with it any moral or legal consequences, whether that be for a person whose attempt at suicide has failed, or whether that be for a doctor who agrees to assist an elderly or sick person’s suicide. 
Consider the consequences for those who attempt suicide and doctors who
wish to assist in the process. Make at least 3 references to the
readings, videos, poetry, or paintings from the module to support your
statements.  
The initial post should be at least 250 words and must substantively integrate the assigned readings, terms, and concepts from the module. please use atleast 3 sources
Resources to use:
https://afsp.org/risk-factors-protective-factors-and-warning-signs/
https://www.berkshireeagle.com/lifestyle/deborah-alecson-musings-on-mortality-lessons-learned-from-mothers-suicide/article_be56ab1a-a761-5b68-89cc-25c78e8a239e.html
https://www.poetryfoundation.org/poems/56965/speech-to-be-or-not-to-be-that-is-the-question
https://www.psychiatrictimes.com/view/suicide-a-biography
https://commons.wikimedia.org/wiki/File:%C3%89douard_Manet_-_Le_Suicid%C3%A9_(ca._1877).jpg

Assignment Description:
Write a 2000-2500 word essay addressing each of the
following points/questions. Be sure to completely answer all the questions for
each bullet point. There should be five sections, one for each bullet below.
Separate each section in your paper with a clear heading that allows your
professor to know which bullet you are addressing in that section of your
paper. Support your ideas with at least three (3) citations in your essay. Make
sure to reference the citations using the APA writing style for the essay. The
cover page and reference page do not count towards the minimum word amount.
1.   
What is the different
between sustaining and disruptive technology?
2.   
Discuss the four
ebusiness advantages? Explain in briefly.
3.   
How can a company use
disintermediation to achieve a competitive advantage?
4.   
Explain
brick-and-mortar? Provide an example.
5.   
Why is search engine
ranking important to a company?
The following specifications are required for this
assignment:
Length: 2000 –2500 words; answers must thoroughly address
the questions clearly and concisely.
Structure: Include a title page and reference page in APA
style. These do not count towards the minimum word count for this
assignment.
References: Use the appropriate APA style in-text
citations and references for all resources to answer the questions.
Include at least three (3) scholarly sources to support your claims.

In 2-3 pages, select a region or country from Africa or Asia
and single out one persistent health problem. Analyze the current status of
this health problem and investigate what the national government is undertaking
to address this health problem. On your paper, be sure you address the
following: 
1. What are international organizations such as the United Nations
(U.N), World Health Organization ((WHO), United States Agency for International
Development (USAID)or the World Bank undertaking to contribute to the solution
of the problem? 
2. Do you think the problem will be addressed by these
aforementioned measures? Why or why not? Incorporate background readings and
external sources into your paper

Select one research article of interest through the LIRN library and critically appraise the article. You can access the LIRN Library in the Canvas navigation bar. Next, write a 200–250-word initial post addressing the discussion prompts. 
Discussion Prompts
Provide a summary of the topic of the article, including if it is qualitative or quantitative.
Identify the priority questions you would use to determine the quality of the article.
Identify the type of study design that was used for your research article.
Do you believe the results are dependable, credible, and transferable? Why or why not?

These 5 sources are required for the article please let me know if you can access all five
heres the share link to number five https://onlinelibrary.wiley.com/share/PAE3EX9SBTGVH3WJYSNR?target=10.1111/dmcn.15258
And please attach a similar text report as this is my last paper for school and don’t want to fail because of plagirism please

Nurse-managed health centers and clinics are providing care at more convenient locations. Please explain the need for this change, benefits, and possible solutions to any obstacles.